Organization Active NPI

P.R. Medical PC

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1639590862
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196325 Issued in NY
Legal business name
P.R. MEDICAL PC
Practice address
7909B Northern Blvd
Jackson Heights, NY 11372-1223
Phone
(718) 507-1438
Fax
(718) 507-1530
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Pervaiz Iqbal Qureshi
Title
MD
Phone
(718) 507-1438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 196325 NY Primary

Addresses

Primary practice location

7909B Northern Blvd
Jackson Heights, NY 11372-1223

Mailing address

7909B Northern Blvd
Jackson Heights, NY 11372-1223
Phone (718) 507-1438

National Provider Directory

National Provider Directory

Locations

7909B Northern Blvd
Jackson Hts, NY 11372
Phone (718) 507-1438

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1639590862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909B NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721223",
            "telephone_number": "718-507-1438",
            "fax_number": "718-507-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909B NORTHERN BLVD",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721223",
            "telephone_number": "718-507-1438",
            "fax_number": "718-507-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.R. MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "PERVAIZ",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-507-1438"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.