Organization Active NPI

New Start Family Medical PC

  • Primary Care Clinic/Center
  • Springfield Gardens, NY
National Provider Identifier
1821369125
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
163568 Issued in NY
Legal business name
NEW START FAMILY MEDICAL PC
Practice address
14524 230TH St
Springfield Gardens, NY 11413-3927
Phone
(718) 712-6886
Fax
(718) 712-2346
NPI assigned
Jan 18, 2012
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW START FAMILY MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Wendy Griffith-Reece, MDNPI 1114032521
Title
Medical Director
Phone
(718) 712-6886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 163568 NY Primary

Addresses

Primary practice location

14524 230TH St
Springfield Gardens, NY 11413-3927

Mailing address

14524 230TH St
Springfield Gardens, NY 11413-3927
Phone (718) 712-6886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000141 NY Part B Supplier - Clinic/Group Practice 3173790425 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Springfield Gardens, NY

National Provider Directory

National Provider Directory
Part of
New Start Family Medical PC

Locations

1074 DeKalb Ave
Brooklyn, NY 11221
Phone (718) 452-6013

1228 Broadway
Brooklyn, NY 11221
Phone (718) 307-5627

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1821369125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 230TH ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133927",
            "telephone_number": "718-712-6886",
            "fax_number": "718-712-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START FAMILY MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW START FAMILY MEDICAL PC",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH-REECE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-712-6886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "163568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.