Individual provider Active NPI

Mihai Marcel Iordache, MD

  • Psychiatry Physician
  • Queens Village, NY
National Provider Identifier
1831275031
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
222889 Issued in NY
Practice address
8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195
Phone
(718) 264-3412
Fax
(718) 523-2728
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 222889 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195

Mailing address

7534 Bell Blvd Apt 2E
Bayside, NY 11364-3427
Phone (917) 863-2728

Other practice location 1

80th St & 41st Ave
Elmhurst, NY 11373-1329
Phone (718) 334-3900

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105002167 NY Practitioner - Psychiatry 9234434101 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bleuler Psychotherapy Center, Inc. CurrentSince Apr 30, 2023 Accepting new patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Mar 29, 2020 Accepting new patients
Comprehensive Care Counseling LCSW PLLC PastSince Sep 3, 2016 Accepting new patients
Medical & Behavioral Health Research PC Past Accepting new patients

Locations

10470 Queens Blvd
Ste 200
Forest Hills, NY 11375
Phone (866) 404-6913

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1831275031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7534 BELL BLVD APT 2E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643427",
            "telephone_number": "917-863-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD BLDG 73",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272195",
            "telephone_number": "718-264-3412",
            "fax_number": "718-523-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80th St & 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731329",
            "country_code": "US",
            "telephone_number": "718-334-3900",
            "fax_number": "718-334-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IORDACHE",
        "first_name": "MIHAI",
        "middle_name": "MARCEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.