Pace Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

100704 Issued in NY

Legal business name

PACE MEDICAL PC

Practice address

13681 Roosevelt Ave
3Rd Floor
Flushing, NY 11354-5503

Phone

(718) 886-8872

Fax

(718) 886-8840

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Sarurul Khan, MD

Title

Contact

Phone

(718) 886-8872

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821203647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 ROOSEVELT AVE",
            "address_2": "3RD FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545503",
            "telephone_number": "718-886-8872",
            "fax_number": "718-886-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 ROOSEVELT AVE",
            "address_2": "3RD FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545503",
            "telephone_number": "718-886-8872",
            "fax_number": "718-886-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SARURUL",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "718-886-8872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "100704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.