84 Street Medical PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

244586 Issued in NY

Legal business name

84 STREET MEDICAL PC

Practice address

3559 84TH St
Jackson Heights, NY 11372-5367

Phone

(718) 507-0300

Fax

(718) 507-0330

NPI assigned

Aug 10, 2014

Last updated

Aug 10, 2014By 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

Dr. Lucot Cherenfant, M.D.NPI 1144425505

Title

Doctor

Phone

(718) 507-0300

Specialties & licenses 1

Addresses

Locations

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.

• Lucot Cherenfant, MD

  • Obstetrics & Gynecology Physician
  • Jackson Heights, NY
  • NPI 1144425505
  Authorized official Same address or phone

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1780093153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342312",
            "telephone_number": "917-331-8817",
            "fax_number": "718-507-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3559 84TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725367",
            "telephone_number": "718-507-0300",
            "fax_number": "718-507-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "84 STREET MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "CHERENFANT",
        "authorized_official_first_name": "LUCOT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-507-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "244586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Jackson Heights, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.