Boulevard Medical Care PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BOULEVARD MEDICAL CARE PC

Practice address

10255 63Rd Rd
Forest Hills, NY 11375-1048

Phone

(347) 808-0346

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By 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

Omar Ahmed

Title

MD

Phone

(917) 574-5334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1669281309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 54TH ST APT 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195535",
            "telephone_number": "347-808-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 63RD RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751048",
            "telephone_number": "347-808-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-574-5334"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.