Organization Active NPI

Remedial Primary Medical Care, PC

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1851636351
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
260263 Issued in NY
Legal business name
REMEDIAL PRIMARY MEDICAL CARE, PC
Practice address
252 W Old Country Rd
Hicksville, NY 11801-4011
Phone
(516) 317-8337
Fax
(631) 675-9301
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Farah Fatima, DO
Title
Sole Proprietor
Phone
(516) 317-8337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 260263 NY Primary

Addresses

Primary practice location

252 W Old Country Rd
Hicksville, NY 11801-4011

Mailing address

61 Willets Dr
Syosset, NY 11791-3915
Phone (516) 317-8337

National Provider Directory

National Provider Directory

Locations

252 W Old Country Rd
Hicksville, NY 11801
Phone (516) 317-8337

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1851636351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WILLETS DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913915",
            "telephone_number": "516-317-8337",
            "fax_number": "631-675-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014011",
            "telephone_number": "516-317-8337",
            "fax_number": "631-675-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDIAL PRIMARY MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "516-317-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.