NPIMap

Organization Active NPI

MLG Medical , P.C.

  • Primary Care Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1689979163
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
214334 Issued in NY
Legal business name
MLG MEDICAL , P.C.
Practice address
111-15 Queens Blvd. 2ND Floor
Forest Hills, NY 11375-7422
Phone
(718) 544-6448
NPI assigned
Jan 14, 2011
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Michael Greenberg, M.D.NPI 1265479976
Title
President
Phone
(917) 648-3961

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 214334 NY Primary

Addresses

Primary practice location

111-15 Queens Blvd. 2ND Floor
Forest Hills, NY 11375-7422

Mailing address

111-15 Queens Blvd. 2ND Floor
Forest Hills, NY 11375-7422
Phone (718) 544-6448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1689979163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-15 QUEENS BLVD. 2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757422",
            "telephone_number": "718-544-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-15 QUEENS BLVD. 2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757422",
            "telephone_number": "718-544-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLG MEDICAL , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-648-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "214334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.