Organization Active NPI

Arsenio Medical, P.C.

  • Legal Medicine
  • Lawrence, NY
National Provider Identifier
1689629032
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
ARSENIO MEDICAL, P.C.
Practice address
215 Rockaway Tpke
Lawrence, NY 11559-1216
Phone
(516) 374-5024
Fax
(516) 374-5816
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Vincent Stark, MPA
Title
Practice Manager
Phone
(516) 374-5024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X NY Primary

Addresses

Primary practice location

215 Rockaway Tpke
Lawrence, NY 11559-1216

Mailing address

215 Rockaway Tpke
Lawrence, NY 11559-1216
Phone (516) 374-5024

Other identifiers 1

IdentifierTypeStateIssuer
01793737MedicaidNY

National Provider Directory

National Provider Directory

Locations

1624 Central Ave
#3
Far Rockaway, NY 11691
Phone (718) 471-8357

136 Franklin Ave
Franklin Square, NY 11010

1200 W Broadway
Unit 7
Hewlett, NY 11557
Phone (516) 374-5074

215 Rockaway Tpke
Lawrence, NY 11559
Phone 5163745024216

640 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

Practitioners & affiliated clinicians

Practitioners 1

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1689629032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ROCKAWAY TPKE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591216",
            "telephone_number": "516-374-5024",
            "fax_number": "516-374-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ROCKAWAY TPKE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591216",
            "telephone_number": "516-374-5024",
            "fax_number": "516-374-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARSENIO MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "516-374-5024",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01793737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.