Organization Active NPI

Create, Inc.

  • Health Service Clinic/Center
  • New York, NY
National Provider Identifier
1609949668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
010988 Issued in NY
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.