NPIMap

Organization Active NPI

Fakhry Y Alexander MD PC

  • Specialist
  • South Richmond Hill, NY
National Provider Identifier
1619268307
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
135193 Issued in NY
Legal business name
FAKHRY Y ALEXANDER MD PC
Practice address
9719 Lefferts Blvd
South Richmond Hill, NY 11419-1235
Phone
(718) 846-1900
Fax
(718) 441-9347
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Fakhry Y Alexander, M.D.
Title
Owner, Doctor
Phone
(718) 846-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 135193 NY Primary

Addresses

Primary practice location

9719 Lefferts Blvd
South Richmond Hill, NY 11419-1235

Mailing address

9719 Lefferts Blvd
South Richmond Hill, NY 11419-1235
Phone (718) 846-1900

Other identifiers 1

IdentifierTypeStateIssuer
1-00552483MedicaidNY

National Provider Directory

National Provider Directory

Locations

9719 Lefferts Blvd
South Richmond Hl, NY 11419
Phone (718) 846-1900

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1619268307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 LEFFERTS BLVD",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191235",
            "telephone_number": "718-846-1900",
            "fax_number": "718-441-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 LEFFERTS BLVD",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191235",
            "telephone_number": "718-846-1900",
            "fax_number": "718-441-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKHRY Y ALEXANDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "FAKHRY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "718-846-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "135193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-00552483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.