Active NPI
Metropolitan Lithotriptor Associates, PC
- Urology Physician
- Fresh Meadows, NY
National Provider Identifier
1598794430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- METROPOLITAN LITHOTRIPTOR ASSOCIATES, PC
- Practice address
- 176-60 Union Turnpike
Suite 200
Fresh Meadows, NY 11366 - Phone
- (646) 742-8800
- Fax
- (646) 742-8850
- NPI assigned
- Jul 2, 2006
- Last updated
- Dec 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Pavlica
- Title
- Executive VP
- Phone
- (646) 742-8802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
176-60 Union Turnpike
Suite 200
Fresh Meadows, NY 11366
Mailing address
205 Lexington Avenue
Floor 15
New York, NY 10016
Phone (646) 742-8800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ANC144 | Other | OXFORD | |
| IC7854 | Other | HEALTHNET | |
| 293999 | Other | UNITED HEALTH CARE | |
| 346777374 | Other | VYTRA | |
| 97003 | Other | CIGNA | |
| AZ00256 | Medicaid | NY | |
| 1000332 | Other | GHI | |
| 8459536 | Other | AETNA | |
| 001151 | Other | HORIZON |
National Provider Directory
National Provider DirectoryLocations
17660 Union Tpke
Ste 200
Fresh Meadows, NY 11366
Phone (646) 742-8800
160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544745600000",
"number": "1598794430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 LEXINGTON AVENUE",
"address_2": "FLOOR 15",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "646-742-8800",
"fax_number": "646-742-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176-60 UNION TURNPIKE",
"address_2": "SUITE 200",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11366",
"telephone_number": "646-742-8800",
"fax_number": "646-742-8850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN LITHOTRIPTOR ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2018-12-14",
"status": "A",
"authorized_official_last_name": "PAVLICA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "EXECUTIVE VP",
"authorized_official_telephone_number": "646-742-8802",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "IC7854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "293999",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "346777374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "97003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AZ00256",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1000332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8459536",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "001151",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.