Organization Active NPI

Star Medical Care PC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1699022756
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STAR MEDICAL CARE PC
Practice address
14040 Queens Blvd
2ND Floor
Jamaica, NY 11435-3220
Phone
(718) 480-6794
Fax
(718) 480-6985
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Stephen D Roberts, MD
Title
President
Phone
(718) 480-6794

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Legal Medicine (M.D./D.O.) Physician 209800000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

14040 Queens Blvd
2ND Floor
Jamaica, NY 11435-3220

Mailing address

14040 Queens Blvd
2ND Floor
Jamaica, NY 11435-3220
Phone (718) 480-6794

National Provider Directory

National Provider Directory

Locations

14040 Queens Blvd
Ste 2
Jamaica, NY 11435
Phone (718) 257-0200

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1699022756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353220",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353220",
            "telephone_number": "718-480-6794",
            "fax_number": "718-480-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-480-6794",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.