Active NPI
Skender Driza Medical PC
- Clinic/Center
- Ridgewood, NY
National Provider Identifier
1710157581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 245274
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Skender Driza, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1487844270
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.