October Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCTOBER MEDICAL PC

Practice address

3704 91St St Ste D
Jackson Heights, NY 11372-7909

Phone

(929) 401-4936

Fax

(516) 534-4666

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Sonia Evadne Walker-Adamson, DO

Title

DO

Phone

(516) 404-6550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1639868763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 91ST ST STE D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727909",
            "telephone_number": "929-401-4936",
            "fax_number": "516-534-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 91ST ST STE D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727909",
            "telephone_number": "929-401-4936",
            "fax_number": "516-534-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-01-11",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER-ADAMSON",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "EVADNE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "516-404-6550",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyc Medical of Queens PC
• Nyc Oral Surgery Associates
• Nyhmcq-Jackson Heights Family Center
• Maria Assunta Giocon Solis Oca, M.D.
• Heidi Ocner
• Oficina Psiquiatrica Hispana (Clinica Psiquiatrica Hispana)
• Kimberly Ogba
• Kelvin Ogelle, D.P.M
• Brianna Olamiju
• Alvaro Alfonso Olayo, M.D.

• Family Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.