Physician Healthcare Network,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

175168 Issued in NY

Legal business name

PHYSICIAN HEALTHCARE NETWORK,PC

Practice address

4415 43Rd Ave Apt C1
Sunnyside, NY 11104-2254

Phone

(718) 472-3870

Fax

(718) 472-4060

NPI assigned

May 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramsey John Fakhuri, M.D.

Title

President

Phone

(516) 922-4029

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1619189016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WALNUT AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321413",
            "telephone_number": "516-922-4029",
            "fax_number": "718-472-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 43RD AVE APT C1",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042254",
            "telephone_number": "718-472-3870",
            "fax_number": "718-472-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HEALTHCARE NETWORK,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "FAKHURI",
        "authorized_official_first_name": "RAMSEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-922-4029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410553",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE # FOR NYC, NASSU",
            "identifier": "WEK461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taehyun Park, PMHNP
• Satish Patole, D.D.S.
• Anthony John Pavlo, PHD
• Eva Pendleton, LMT
• Andrea Jose Perez
• Corinna Popescu
• Damien Pratt, LCSW, CASAC 2
• Prestige Drugs Inc.
• Prime Pharmacy Inc
• Marthahall Ramadan, BS PHARMACY

• Internal Medicine Physician in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.