Active NPI
Fleet Medical PC
- Internal Medicine Physician
- Rego Park, NY
National Provider Identifier
1720244122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 119359
- Legal business name
- FLEET MEDICAL PC
- Practice address
- 6607 Alderton St
Rego Park, NY 11374-5234 - Phone
- (718) 648-5858
- NPI assigned
- Aug 5, 2008
- Last updated
- Aug 5, 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
- Mr. Benigno R Sales Jr., MD
- Title
- Owner
- Phone
- (718) 648-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 119359 | NY | Primary |
Addresses
Primary practice location
6607 Alderton St
Rego Park, NY 11374-5234
Mailing address
6607 Alderton St
Rego Park, NY 11374-5234
Phone (718) 648-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00223689 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1720244122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745234",
"telephone_number": "718-648-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6607 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745234",
"telephone_number": "718-648-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEET MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "SALES",
"authorized_official_first_name": "BENIGNO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-648-5858",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "119359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00223689",
"state": "NY"
}
],
"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 Aug 5, 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.