Organization Active NPI

Procare Medical Services PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1619053071
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROCARE MEDICAL SERVICES PC
Practice address
13630 Maple Ave
Suite 2L
Flushing, NY 11355-3868
Phone
(718) 888-9202
Fax
(718) 888-9204
NPI assigned
Oct 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wai-Kuen Lam, M.D.
Title
President
Phone
(718) 888-9202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13630 Maple Ave
Suite 2L
Flushing, NY 11355-3868

Mailing address

13630 Maple Ave
Suite 2L
Flushing, NY 11355-3868
Phone (718) 888-9202

Other identifiers 1

IdentifierTypeStateIssuer
03304074MedicaidNY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAGAA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1619053071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE",
            "address_2": "SUITE 2L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553868",
            "telephone_number": "718-888-9202",
            "fax_number": "718-888-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE",
            "address_2": "SUITE 2L",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553868",
            "telephone_number": "718-888-9202",
            "fax_number": "718-888-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "WAI-KUEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-9202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03304074",
            "state": "NY"
        }
    ],
    "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 Feb 29, 2012; 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.