NPIMap

Organization Active NPI

For-Med Medical

Doing business as Astoria Medical Group

  • Legal Medicine
  • Long Island City, NY
National Provider Identifier
1720194012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
FOR-MED MEDICAL
Doing business as
Astoria Medical Group
Practice address
2535 31St Ave
Long Island City, NY 11106-3607
Phone
(718) 274-2600
Fax
(718) 274-5337
NPI assigned
Aug 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fouad Lajam, M.D.
Title
Owner
Phone
(718) 274-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

2535 31St Ave
Long Island City, NY 11106-3607

Mailing address

2535 31St Ave
Long Island City, NY 11106-3607
Phone (718) 274-2600

Other names 1

  • ASTORIA MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720194012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063607",
            "telephone_number": "718-274-2600",
            "fax_number": "718-274-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 31ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111063607",
            "telephone_number": "718-274-2600",
            "fax_number": "718-274-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR-MED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAJAM",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-274-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASTORIA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.