NPIMap

Organization Active NPI

Welcome Medical PC

  • General Practice Physician
  • Rego Park, NY
National Provider Identifier
1710215918
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WELCOME MEDICAL PC
Practice address
9254 Queens Blvd
Rego Park, NY 11374-1040
Phone
(718) 426-5100
NPI assigned
Nov 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Mr. Jean Claude Demetrius
Title
Owner
Phone
(718) 426-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9254 Queens Blvd
Rego Park, NY 11374-1040

Mailing address

9254 Queens Blvd
Rego Park, NY 11374-1040
Phone (718) 426-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1710215918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9254 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741040",
            "telephone_number": "718-426-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9254 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741040",
            "telephone_number": "718-426-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-27",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "DEMETRIUS",
        "authorized_official_first_name": "JEAN CLAUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-426-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.