Active NPI
786 Medical PC
- Legal Medicine
- Astoria, NY
National Provider Identifier
1760439509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 132562
- Legal business name
- 786 MEDICAL PC
- Practice address
- 3511 Ditmars Blvd
Astoria, NY 11105-2108 - Phone
- (212) 996-0006
- NPI assigned
- May 27, 2006
- Last updated
- Jun 13, 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
- Muhammad Rafiq Chaudhry
- Title
- Authorized Official
- Phone
- (212) 996-0006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 132562 | NY | Primary |
Addresses
Primary practice location
3511 Ditmars Blvd
Astoria, NY 11105-2108
Mailing address
3511 Ditmars Blvd
Astoria, NY 11105-2108
National Provider Directory
National Provider DirectoryLocations
3511 Ditmars Blvd
Astoria, NY 11105
Phone (212) 785-1651
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1457391443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1760439509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052108",
"telephone_number": "212-996-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "786 MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "RAFIQ",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "212-996-0006"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "132562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.