NPIMap

Organization Active NPI

Ny Family Practice Physicians, PC

  • Primary Care Clinic/Center
  • Woodhaven, NY
National Provider Identifier
1790936854
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NY FAMILY PRACTICE PHYSICIANS, PC
Practice address
86 16 Jamaica Ave
Woodhaven, NY 11421
Phone
(718) 805-0037
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Danielle Patterson
Title
VP Operations
Phone
(516) 398-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

86 16 Jamaica Ave
Woodhaven, NY 11421

Mailing address

86 16 Jamaica Avenue
Woodhaven, NY 11421
Phone (718) 805-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000488 NY Part B Supplier - Clinic/Group Practice 4688731623 Receives reassigned benefits from 24 practitioners
Practice locations: Woodhaven, NY; Rego Park, NY; Queens Village, NY; Jamaica, NY; Glendale, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1052 Liberty Ave
Brooklyn, NY 11208
Phone (718) 235-5600

11821 Queens Blvd
Ste 601
Forest Hills, NY 11375
Phone (516) 426-8604

17520 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8789

11208 Springfield Blvd
Queens Village, NY 11429
Phone (929) 430-3811

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1790936854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 16 JAMAICA AVENUE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 16 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY FAMILY PRACTICE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "516-398-4774"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.