Active NPI
Create, Inc.
- Health Service Clinic/Center
- New York, NY
National Provider Identifier
1609949668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 010988
- Legal business name
- CREATE, INC.
- Practice address
- 73 Malcolm X Blvd # 75
New York, NY 10026-3007 - Phone
- (212) 663-1596
- Fax
- (212) 663-1323
- NPI assigned
- Nov 16, 2006
- Last updated
- Aug 22, 2020
- 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. Garry Elie Laquinte, PA
- Title
- Primary Care PA
- Phone
- (212) 663-1596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 010988 | NY | Primary |
Addresses
Primary practice location
73 Malcolm X Blvd # 75
New York, NY 10026-3007
Mailing address
73 Malcolm X Blvd # 75
New York, NY 10026-3007
Phone (212) 663-1596
National Provider Directory
National Provider DirectoryLocations
73 Malcolm X Blvd
#75
New York, NY 10026
Phone (212) 663-1596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609949668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 MALCOLM X BLVD # 75",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263007",
"telephone_number": "212-663-1596",
"fax_number": "212-663-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MALCOLM X BLVD # 75",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263007",
"telephone_number": "212-663-1596",
"fax_number": "212-663-1323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAQUINTE",
"authorized_official_first_name": "GARRY",
"authorized_official_middle_name": "ELIE",
"authorized_official_title_or_position": "PRIMARY CARE PA",
"authorized_official_telephone_number": "212-663-1596",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "010988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.