Organization Active NPI

Fleet Medical PC

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1720244122
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
119359 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00223689MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.