Organization Active NPI

Richard Hallenbeck Physician PLLC

  • Primary Care Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1851045462
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD HALLENBECK PHYSICIAN PLLC
Practice address
8708 Justice Ave Ste CM
Elmhurst, NY 11373-8715
Phone
(718) 507-2000
Fax
(718) 507-2358
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Richard Hallenbeck, MDNPI 1396159299
Title
Physician
Phone
(914) 406-1112

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

8708 Justice Ave Ste CM
Elmhurst, NY 11373-8715

Mailing address

8708 Justice Ave Ste CM
Elmhurst, NY 11373-8715
Phone (718) 507-2000

National Provider Directory

National Provider Directory

Locations

8708 Justice Ave
Ste Cm
Elmhurst, NY 11373
Phone (718) 507-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1851045462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE STE CM",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113738715",
            "telephone_number": "718-507-2000",
            "fax_number": "718-507-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE STE CM",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113738715",
            "telephone_number": "718-507-2000",
            "fax_number": "718-507-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HALLENBECK PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HALLENBECK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-406-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.