Organization Active NPI

Emmanuel Medical PC

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1821370818
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
241624 Issued in NY
Legal business name
EMMANUEL MEDICAL PC
Practice address
6514 108TH St
1C
Forest Hills, NY 11375-1856
Phone
(718) 510-6861
Fax
(718) 606-0377
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Ervin Kurts, MD
Title
Owner
Phone
(718) 510-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 241624 NY Primary

Addresses

Primary practice location

6514 108TH St
1C
Forest Hills, NY 11375-1856

Mailing address

6514 108TH St
1C
Forest Hills, NY 11375-1856
Phone (718) 510-6861

National Provider Directory

National Provider Directory

Locations

100 W Oak St
Amityville, NY 11701
Phone (631) 264-1800

13319 41st Rd
Flushing, NY 11355
Phone (718) 461-8515

13529 Lefferts Blvd
South Ozone Park, NY 11420
Phone (718) 641-1100

4131 Richmond Ave
Staten Island, NY 10312
Phone (718) 227-1340

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1821370818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 108TH ST",
            "address_2": "1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751856",
            "telephone_number": "718-510-6861",
            "fax_number": "718-606-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 108TH ST",
            "address_2": "1C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751856",
            "telephone_number": "718-510-6861",
            "fax_number": "718-606-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "KURTS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-510-6861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.