Organization Active NPI

Hicksville Medical PC

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1851660518
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
233296 Issued in NY
Legal business name
HICKSVILLE MEDICAL PC
Practice address
108-14 72ND Avenue
Suite 4
Forest Hills, NY 11375
Phone
(718) 520-8480
Fax
(718) 261-7886
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Gregory Silver, MD
Title
President
Phone
(718) 520-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 233296 NY Primary

Addresses

Primary practice location

108-14 72ND Avenue
Suite 4
Forest Hills, NY 11375

Mailing address

108-14 72ND Avenue
Suite 4
Forest Hills, NY 11375
Phone (718) 520-8480

National Provider Directory

National Provider Directory

Locations

400 S Oyster Bay Rd
Ste 205
Hicksville, NY 11801
Phone (516) 433-5396

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1851660518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108-14 72ND AVENUE",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-520-8480",
            "fax_number": "718-261-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-14 72ND AVENUE",
            "address_2": "SUITE 4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-520-8480",
            "fax_number": "718-261-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKSVILLE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-520-8480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "233296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.