Elmhurst

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ELMHURST

Practice address

183 Beach 97TH St FL 2
Rockaway Beach, NY 11693-1323

Phone

(347) 598-9099

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By 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

Wanda Rodriguez, MD

Title

Physician

Phone

(347) 598-9099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1710257274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BEACH 97TH ST",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931323",
            "telephone_number": "347-598-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BEACH 97TH ST FL 2",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931323",
            "telephone_number": "347-598-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "347-598-9099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.