North Austin Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTH AUSTIN MEDICAL PC

Practice address

6860 Austin St
2ND Floor, Suite 209
Forest Hills, NY 11375-4220

Phone

(718) 896-8502

Fax

(718) 896-8502

NPI assigned

Nov 22, 2006

Last updated

Jan 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emma Poroger, M.D. D.O.NPI 1669572368

Title

Owner

Phone

(718) 896-8502

Specialties & licenses 1

Addresses

Other identifiers 13

Locations

Practitioners 7

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.

• Emma Poroger, M.D D.O

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1669572368
  NPD (past) Authorized official
• Jasmine Faustino, P.T.

  • Physical Therapist
  • Bronx, NY
  • NPI 1427230440
  NPD (past)
• Raisa Oklander, DO

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1164482097
  NPD (past)
• Rodrigo Edizer David Piano

  • Physical Therapy Assistant
  • Forest Hills, NY
  • NPI 1730343369
  NPD (past)
• Jonathan Esguerra Bumanlag, PT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1548431364
  NPD (past)
• Jonathan Orio Gonzaga, PT

  • Specialist
  • Fair Lawn, NJ
  • NPI 1629248562
  NPD (past)
• Joseph Wellen Sedrak, PT

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1093856619

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1770658627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "address_2": "2ND FLOOR, SUITE 209",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754220",
            "telephone_number": "718-896-8502",
            "fax_number": "718-896-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST",
            "address_2": "2ND FLOOR, SUITE 209",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754220",
            "telephone_number": "718-896-8502",
            "fax_number": "718-896-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUSTIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "POROGER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-896-8502",
        "authorized_official_credential": "M.D. D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSUMER HEALTH NETWORK",
            "identifier": "114809283",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8994575",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3636754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "114809283",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "5573BEQ231",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLAN",
            "identifier": "2539890",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAILCARE",
            "identifier": "8214337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000614601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8219337",
            "identifier": "GHI",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039357",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3K6560",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE EMPIRE",
            "identifier": "144809283",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7122504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magdala Noel
• Daisy Karen Nomesque Bejarano
• Danielle Norfleet, COTA
• Bella Normatov, DDS
• Yuriy Normatov, DDS
• North Shore Hematology Oncology Associates PC (Ny Cancer & Blood Specialists)
• North Shore Hematology/Oncology Associates PC (NY Cancer & Blood Specialists)
• North Shore Hematology/Oncology Associates PC (New York Cancer & Blood Specialists)
• North Shore University Hospital
• North Shore University Hospital at Forest Hills

• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.