Organization Active NPI

MLS Medical Services, P.C.

  • General Practice Physician
  • Briarwood, NY
National Provider Identifier
1730360892
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
206148 Issued in NY
Legal business name
MLS MEDICAL SERVICES, P.C.
Practice address
8339 Daniels St
Briarwood, NY 11435-1208
Phone
(718) 523-4141
Fax
(718) 206-0302
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Robert Kormendi, M.D.
Title
President
Phone
(718) 523-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 206148 NY Primary

Addresses

Primary practice location

8339 Daniels St
Briarwood, NY 11435-1208

Mailing address

14160 Pershing Cres
Briarwood, NY 11435-1946
Phone (718) 523-4141

Other identifiers 1

IdentifierTypeStateIssuer
01765833MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1730360892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 PERSHING CRES",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351946",
            "telephone_number": "718-523-4141",
            "fax_number": "718-206-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8339 DANIELS ST",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351208",
            "telephone_number": "718-523-4141",
            "fax_number": "718-206-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLS MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KORMENDI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-523-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "206148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.