NPIMap

Organization Active NPI

Empire Ny Medical Care PLLC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1750690806
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
258181 Issued in NY
Legal business name
EMPIRE NY MEDICAL CARE PLLC
Practice address
928 Broadway
Suite 304
New York, NY 10010-6008
Phone
(646) 688-3145
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Weymin Guillermo Hago, M.D.NPI 1992941314
Title
President
Phone
(646) 688-3145

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 258181 NY Primary

Addresses

Primary practice location

928 Broadway
Suite 304
New York, NY 10010-6008

Mailing address

3731 73Rd St
Apt 6F
Jackson Heights, NY 11372-6250
Phone (917) 488-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110930000357 NY Part B Supplier - Clinic/Group Practice 9032381751 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

450 Park Ave S
Rm 202
New York, NY 10016
Phone (347) 468-2592

274 Madison Ave
Rm 1804
New York, NY 10016
Phone (347) 468-2592

Practitioners & affiliated clinicians

Practitioners 9

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": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1750690806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 73RD ST",
            "address_2": "APT 6F",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726250",
            "telephone_number": "917-488-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106008",
            "telephone_number": "646-688-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE NY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "HAGO",
        "authorized_official_first_name": "WEYMIN",
        "authorized_official_middle_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-688-3145",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "258181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.