Organization Active NPI

Wyckoff Heights Medical Center

  • General Acute Care Hospital
  • Forest Hills, NY
National Provider Identifier
1639551070
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WYCKOFF HEIGHTS MEDICAL CENTER
Practice address
10460 Queens Blvd
Apt 10P
Forest Hills, NY 11375-7318
Phone
(586) 744-9584
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Duc Van Nguyen
Title
Podiatry
Phone
(586) 744-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

10460 Queens Blvd
Apt 10P
Forest Hills, NY 11375-7318

Mailing address

10460 Queens Blvd
Apt 10P
Forest Hills, NY 11375-7318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1639551070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD",
            "address_2": "APT 10P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD",
            "address_2": "APT 10P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757318",
            "telephone_number": "586-744-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF HEIGHTS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "586-744-9584"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.