Fabio Mehrgut, M.D.,PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

NY168071 Issued in NY

Legal business name

FABIO MEHRGUT, M.D.,PC

Practice address

95-11 101 Avenue
Ozone Park, NY 11416-2500

Phone

(718) 529-4780

Fax

(718) 529-4783

NPI assigned

Mar 25, 2014

Last updated

Mar 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fabio Mehrgut, M.D.

Title

Medical Doctor

Phone

(718) 529-4780

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1629495999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-11 101 AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-529-4780",
            "fax_number": "718-529-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-11 101 AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-529-4780",
            "fax_number": "718-529-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIO MEHRGUT, M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MEHRGUT",
        "authorized_official_first_name": "FABIO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-529-4780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "NY168071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01207258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.