Active NPI
Medical Care of Queens Borough PC
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1841803293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL CARE OF QUEENS BOROUGH PC
- Practice address
- 970 Bard Ave FL 1
Staten Island, NY 10301-3322 - Phone
- (718) 874-9143
- NPI assigned
- Aug 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Noor
- Title
- Manager
- Phone
- (718) 873-4201
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
970 Bard Ave FL 1
Staten Island, NY 10301-3322
Mailing address
970 Bard Ave FL 1
Staten Island, NY 10301-3322
Other names 1
- Bard Medical Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Rego Park, NY
- NPI 1801970041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598400000000",
"number": "1841803293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 BARD AVE FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 BARD AVE FL 1",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013322",
"telephone_number": "718-874-9143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CARE OF QUEENS BOROUGH PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A",
"authorized_official_last_name": "NOOR",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-873-4201"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bard Medical Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
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- Medforge Fusion LLC
- Medical and Wellness Practice PLLC
- Medical Doctor Milena Kolesnikova PC
- Medical Office PC
- Medical Practice Associates PLLC
- Medical Services of Staten Island PLLC
- Medicine Check PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.