Organization Active NPI

786 Medical PC

  • Legal Medicine
  • Astoria, NY
National Provider Identifier
1760439509
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
132562 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Muhammad Rafiq ChaudhryNPI 1457391443
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.