Active NPI
Stat Doc LLC
- Clinic/Center
- Farmingville, NY
National Provider Identifier
1730822891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- STAT DOC LLC
- Practice address
- 1075 Portion Rd
Farmingville, NY 11738-4205 - Phone
- (718) 534-7888
- Fax
- (718) 874-0088
- NPI assigned
- Apr 18, 2022
- Last updated
- Apr 18, 2022
- 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
- Shahid Rasul, MD
- Title
- Ceo
- Phone
- (718) 534-7888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1075 Portion Rd
Farmingville, NY 11738-4205
Mailing address
743 Hillside Ave
North New Hyde Park, NY 11040-2515
Phone (917) 774-1787
National Provider Directory
National Provider DirectoryLocations
1075 Portion Rd
Farmingville, NY 11738
Phone (631) 320-1599
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1215019468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1730822891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 HILLSIDE AVE",
"city": "NORTH NEW HYDE PARK",
"state": "NY",
"postal_code": "110402515",
"telephone_number": "917-774-1787",
"fax_number": "718-874-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 PORTION RD",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117384205",
"telephone_number": "718-534-7888",
"fax_number": "718-874-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT DOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "RASUL",
"authorized_official_first_name": "SHAHID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-534-7888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.