Dr Uriel Medical PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

260047 Issued in NY

Legal business name

DR URIEL MEDICAL PLLC

Practice address

6920 Main St
Flushing, NY 11367-1703

Phone

(718) 793-9020

Fax

(718) 261-4220

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Inessa Hammershmidt

Title

Billing Manager

Phone

(201) 982-1591

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uriel Mirzakandov, M.D.

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1316276447
  Medicare reassignment NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1861997629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670601",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113670601",
            "telephone_number": "212-444-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020",
            "fax_number": "718-261-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6939 Yellowstone Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753795",
            "country_code": "US",
            "telephone_number": "718-575-3300",
            "fax_number": "718-544-1298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR URIEL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "HAMMERSHMIDT",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-982-1591"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "260047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03547064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.