NPIMap

Organization Active NPI

Mediscan

  • Nursing Care Agency
  • Flushing, NY
National Provider Identifier
1629406673
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
610419 Issued in NY
Legal business name
MEDISCAN
Practice address
4125 163Rd St
Flushing, NY 11358-2657
Phone
(718) 571-8010
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Ms. Judy Avigdor, OTR
Title
Director
Phone
(718) 571-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 610419 NY Primary

Addresses

Primary practice location

4125 163Rd St
Flushing, NY 11358-2657

Mailing address

4125 163Rd St
Flushing, NY 11358-2657
Phone (718) 571-8010

National Provider Directory

National Provider Directory
Tax ID family
Mediscan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4125 163rd St
Flushing, NY 11358
Phone (718) 571-8010

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1629406673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 163RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582657",
            "telephone_number": "718-571-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 163RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582657",
            "telephone_number": "718-571-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISCAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "AVIGDOR",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-571-8010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "610419",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 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.