Active NPI
Richard Hallenbeck Physician PLLC
- Primary Care Clinic/Center
- Elmhurst, NY
National Provider Identifier
1851045462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Hallenbeck, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Flushing, NY
- NPI 1396159299
-
- Pediatrics Physician
- Elmhurst, NY
- NPI 1689682619
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.