Active NPI
Adriel Medina
- Marriage & Family Therapist
- Flushing, NY
National Provider Identifier
1649908898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 14015B Sanford Ave FL 2
Flushing, NY 11355-2557 - Phone
- (718) 358-8288
- Fax
- (718) 358-5265
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
14015B Sanford Ave FL 2
Flushing, NY 11355-2557
Mailing address
13602 64TH Rd
Flushing, NY 11367-1111
Phone (914) 608-1134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1649908898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13602 64TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671111",
"telephone_number": "914-608-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557",
"telephone_number": "718-358-8288",
"fax_number": "718-358-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ADRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.