NPIMap

Organization Active NPI

Comprehensive Primary Family Medical Care of Ny, PLLC

  • Primary Care Clinic/Center
  • Far Rockaway, NY
National Provider Identifier
1699065003
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
231883 Issued in NY
Legal business name
COMPREHENSIVE PRIMARY FAMILY MEDICAL CARE OF NY, PLLC
Practice address
1319 Cornaga Ave
Far Rockaway, NY 11691-5004
Phone
(718) 327-2101
Fax
(718) 471-3863
NPI assigned
Apr 19, 2011
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Dr. Joseph A. Louis, M.D.NPI 1295827798
Title
Director
Phone
(718) 327-2101

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 231883 NY Primary

Addresses

Primary practice location

1319 Cornaga Ave
Far Rockaway, NY 11691-5004

Mailing address

1319 Cornaga Ave
Far Rockaway, NY 11691-5004
Phone (718) 327-2101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110420000290 NY Part B Supplier - Clinic/Group Practice 6204011182 Receives reassigned benefits from 1 practitioner
Practice locations: Far Rockaway, NY; Hempstead, NY

National Provider Directory

National Provider Directory
Tax ID family
Comperhensive Promary Family Medical Care of Ny PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1319 Cornaga Ave
Far Rockaway, NY 11691
Phone (718) 327-2101

1319 Cornaga Ave
#1
Far Rockaway, NY 11691
Phone (347) 526-6968

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1699065003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 CORNAGA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915004",
            "telephone_number": "718-327-2101",
            "fax_number": "718-471-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CORNAGA AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915004",
            "telephone_number": "718-327-2101",
            "fax_number": "718-471-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PRIMARY FAMILY MEDICAL CARE OF NY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-327-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "231883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.