Meadow Medical Services, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3272 Issued in NY

Legal business name

MEADOW MEDICAL SERVICES, PC

Practice address

25 Central Park W
New York, NY 10023-7253

Phone

(718) 354-6810

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Evans Crevecoeur, M.D.

Title

Medical Director

Phone

(718) 354-6810

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1659813962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONWAY RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "718-354-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-354-6810",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.",
            "identifier": "3272",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Meade, PH.D.
• Lori Lynn Meader, L.C.S.W.
• Nobuko Yoshizawa Meaders, MSSW LCSW
• Richard Meador, MSED,CRC
• Ron Meador, DPT
• Amy Meadow, PA
• Herbert Morton Meadow, M.D.
• Jason Potts Meadows, M.D.
• Samantha Beeman Meadows, LCSW
• Travis Vincent Meadows, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.