Empire Medical Group of New York PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

EMPIRE MEDICAL GROUP OF NEW YORK PC

Practice address

113-02 Queens Blvd
Forest Hills, NY 11375

Phone

(718) 544-3066

Fax

(718) 544-3125

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Paul Timothy Burns

Title

Manager

Phone

(212) 818-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Narayan Das Agrawal, M.D.

  • Nephrology Physician
  • Fresh Meadows, NY
  • NPI 1568438570
  NPD (past)
• Vishwanath Valagerehally Puttaswamygowda, MD

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1710118435
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1821108804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LANIDEX PLAZA",
            "address_2": "SUITE 210",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "718-544-3066",
            "fax_number": "718-544-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113-02 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-544-3066",
            "fax_number": "718-544-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE MEDICAL GROUP OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-818-1555"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE PROVIDER ID",
            "identifier": "07407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel Mizrahi DDS PC
• Richard B Emanuel, MD
• Emmanuel Medical PC
• Joi Emmanuel, LCSW
• Empire Medical Associates PLLC
• Empire State Eye Care Medical, PLLC
• Empowered Steps Inc.
• Jacqueline Encarnacion-Tufino
• Rosanni Encarnacion
• Markos Alamirew Endalew, MD

• Diagnostic Radiology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.