Medical Care of Ny PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL CARE OF NY PC

Practice address

138-44 Queens Boulevard
Stores #3 and #4
Briarwood, NY 11435-2653

Phone

(718) 715-1828

Fax

(718) 715-1938

NPI assigned

Sep 28, 2022

Organization subpart

Yes

Parent organization

MEDICAL CARE OF NY PCAs reported in NPPES

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

Authorized official

Name

Niberto Angel Moreno

Title

Owner

Phone

(786) 360-4768

Specialties & licenses 1

Addresses

Part of

Medical Care of Ny PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Care of Ny PC

  • General Practice Physician
  • New York, NY
  • NPI 1477217941
  NPPES parent name

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1629792296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138-44 QUEENS BOULEVARD",
            "address_2": "STORES #3 AND #4",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352653",
            "telephone_number": "718-715-1828",
            "fax_number": "718-715-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138-44 QUEENS BOULEVARD",
            "address_2": "STORES #3 AND #4",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352653",
            "telephone_number": "718-715-1828",
            "fax_number": "718-715-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF NY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE OF NY PC",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NIBERTO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-360-4768"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Marcelonis
• Yana Masikhaeva
• Suraj Bhakta Mathema, RD
• Ashok Marulappa Mavinakere, MS-CCC/SLP
• Ian J McDonald
• Medical Choice and Options PC
• Sarah Colleen Mejia
• Fatima Jumawan Mendoza Agour, LPN
• Michael Kaplowitz, M.D., P.C.
• MLS Medical Services, P.C.

• General Practice Physician in Briarwood, NY
• Providers in Briarwood, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.