Organization Active NPI

New York Medical Center

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1699297861
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW YORK MEDICAL CENTER
Practice address
3020 NE 32ND Ave Ste 305
Fort Lauderdale, FL 33308-7204
Phone
(954) 302-3016
Fax
(718) 554-1666
NPI assigned
Jul 10, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Ekaterina Pushkarskaya, MS
Title
Administrator
Phone
(954) 302-3016

Specialties & licenses 1

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

Addresses

Primary practice location

3020 NE 32ND Ave Ste 305
Fort Lauderdale, FL 33308-7204

Mailing address

PO Box 2015
Hallandale, FL 33008

Other names 1

  • New York Medical Center Former legal business name

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": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699297861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2015",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "33008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NE 32ND AVE STE 305",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087204",
            "telephone_number": "954-302-3016",
            "fax_number": "718-554-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PUSHKARSKAYA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-302-3016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New York Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "New York Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.