NPIMap

Organization Active NPI

Alpha-K Family Medical Practice P.C.

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1659378172
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202847 Issued in NY
Legal business name
ALPHA-K FAMILY MEDICAL PRACTICE P.C.
Practice address
7935 153Rd St
Flushing, NY 11367-3937
Phone
(718) 591-1600
Fax
(718) 591-0265
NPI assigned
Jun 30, 2005
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Emmanuel O Fashakin, M.D.NPI 1922154681
Title
President
Phone
(718) 591-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202847 NY Primary

Addresses

Primary practice location

7935 153Rd St
Flushing, NY 11367-3937

Mailing address

7935 153Rd St
Flushing, NY 11367-3937
Phone (718) 591-1600

Other identifiers 1

IdentifierTypeStateIssuer
01652235MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1659378172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 153RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673937",
            "telephone_number": "718-591-1600",
            "fax_number": "718-591-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 153RD ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673937",
            "telephone_number": "718-591-1600",
            "fax_number": "718-591-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA-K FAMILY MEDICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "FASHAKIN",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-591-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652235",
            "state": "NY"
        }
    ],
    "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 6, 2008; 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.