Organization Active NPI

Optimum Medical Ny PC

  • Internal Medicine Physician
  • Woodmere, NY
National Provider Identifier
1619218039
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OPTIMUM MEDICAL NY PC
Practice address
317 Eastwood Rd
Woodmere, NY 11598-1635
Phone
(917) 295-3617
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Natasha Fuksina, M.D.
Title
President
Phone
(917) 295-3617

Specialties & licenses 1

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

Addresses

Primary practice location

317 Eastwood Rd
Woodmere, NY 11598-1635

Mailing address

317 Eastwood Rd
Woodmere, NY 11598-1635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1619218039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 EASTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EASTWOOD RD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981635",
            "telephone_number": "917-295-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "FUKSINA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-295-3617",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.