Ny Service for Infectious Diseases, Medical P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

234448 Issued in NY

Legal business name

NY SERVICE FOR INFECTIOUS DISEASES, MEDICAL P.C.

Practice address

4373 Union St
Suite C-B
Flushing, NY 11355-3063

Phone

(718) 886-3877

Fax

(718) 886-3995

NPI assigned

May 4, 2011

Last updated

May 4, 2011By 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. Javier P Burgos, D.O.NPI 1982896510

Title

Physician / President

Phone

(917) 518-9445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier P Burgos, D.O.

  • Infectious Disease Physician
  • Flushing, NY
  • NPI 1982896510
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1649562992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 UNION ST",
            "address_2": "SUITE C-B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553063",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 UNION ST",
            "address_2": "SUITE C-B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553063",
            "telephone_number": "718-886-3877",
            "fax_number": "718-886-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY SERVICE FOR INFECTIOUS DISEASES, MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN / PRESIDENT",
        "authorized_official_telephone_number": "917-518-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "234448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.