Up to Date Medical Healthcare PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

237602 Issued in NY

Legal business name

UP TO DATE MEDICAL HEALTHCARE PLLC

Practice address

2747 Crescent St Ste 104
Astoria, NY 11102-3142

Phone

(718) 204-7550

Fax

(718) 204-7566

NPI assigned

Dec 28, 2006

Last updated

Oct 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Katechis, M.D.NPI 1518060862

Title

Physician

Phone

(718) 204-7550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jimmy Katechis, M.D.

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1518060862
  Authorized official Same address or phone

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1700942406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST STE 104",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-7550",
            "fax_number": "718-204-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST STE 104",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-204-7550",
            "fax_number": "718-204-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP TO DATE MEDICAL HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "KATECHIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-204-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "237602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273915",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.