Active NPI
Complete Medical PC
- Adult Medicine Physician
- Briarwood, NY
National Provider Identifier
1780918771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 203546
- Legal business name
- COMPLETE MEDICAL PC
- Practice address
- 13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930 - Phone
- (718) 850-6345
- Fax
- (718) 559-4895
- NPI assigned
- Sep 24, 2009
- Last updated
- Sep 24, 2009
- 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
- Dr. David Laks, MD
- Title
- Director of PC
- Phone
- (718) 850-6345
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 203546 | NY | |
| Adult Medicine Physician | 207QA0505X | 203546 | NY | Primary |
| Podiatrist | 213E00000X | N004931 | NY |
Addresses
Primary practice location
13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930
Mailing address
13876 Queens Blvd
1St Floor
Briarwood, NY 11435-2930
Phone (718) 850-6345
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Briarwood, NY
- NPI 1093923559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1780918771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13876 QUEENS BLVD",
"address_2": "1ST FLOOR",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-6345",
"fax_number": "718-559-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13876 QUEENS BLVD",
"address_2": "1ST FLOOR",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-6345",
"fax_number": "718-559-4895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "LAKS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR OF PC",
"authorized_official_telephone_number": "718-850-6345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "NY",
"license": "203546",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "203546",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NY",
"license": "N004931",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.