Active NPI
Nyhmcq - Surgical PA
- Surgical Physician Assistant
- Flushing, NY
National Provider Identifier
1609815893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- NYHMCQ - SURGICAL PA
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1415
- Fax
- (516) 437-4167
- NPI assigned
- Jun 5, 2006
- 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
- Ms. Millie Schiff
- Title
- Director of Billing
- Phone
- (718) 670-1651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
PO Box 27842
New York, NY 10087-7842
Phone (718) 670-1651
National Provider Directory
National Provider Directory- Tax ID family
- Nyhmc Hollis Women'S Ctr
Other organizations with this tax ID 49
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609815893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27842",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877842",
"telephone_number": "718-670-1651",
"fax_number": "516-437-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1415",
"fax_number": "516-437-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NYHMCQ - SURGICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHIFF",
"authorized_official_first_name": "MILLIE",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "718-670-1651",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.