Organization Active NPI

Atria Health Medical, P.C.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1679072086
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATRIA HEALTH MEDICAL, P.C.
Practice address
9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone
(718) 806-1434
Fax
(718) 806-1435
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Ms. Megha Manik, M.D.NPI 1538438221
Title
President
Phone
(718) 806-1434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135

Mailing address

9308 Queens Blvd # 1B1C
Rego Park, NY 11374-1135
Phone (718) 806-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190212000046 NY Part B Supplier - Clinic/Group Practice 8022356377 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; New Hyde Park, NY; Manhasset, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

300 Community Dr
Plandome, NY 11030

9308 Queens Blvd
#1B
Rego Park, NY 11374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1679072086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIA HEALTH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MANIK",
        "authorized_official_first_name": "MEGHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.