Organization Active NPI

Skender Driza Medical PC

  • Clinic/Center
  • Ridgewood, NY
National Provider Identifier
1710157581
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
245274 Issued in NY
Legal business name
SKENDER DRIZA MEDICAL PC
Practice address
6062 Palmetto St
Ridgewood, NY 11385-3241
Phone
(718) 821-4443
Fax
(718) 821-5785
NPI assigned
Mar 7, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Skender Driza, M.D.NPI 1487844270
Title
Owner
Phone
(718) 417-7581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 245274 NY Primary

Addresses

Primary practice location

6062 Palmetto St
Ridgewood, NY 11385-3241

Mailing address

5916 69TH Ave
Ridgewood, NY 11385-4454
Phone (718) 417-7581

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1710157581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 69TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854454",
            "telephone_number": "718-417-7581",
            "fax_number": "718-417-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 PALMETTO ST",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113853241",
            "telephone_number": "718-821-4443",
            "fax_number": "718-821-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKENDER DRIZA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "DRIZA",
        "authorized_official_first_name": "SKENDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-417-7581",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "245274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.