Organization Active NPI

Falcon Medical Inc

  • Contractor
  • Staten Island, NY
National Provider Identifier
1871011304
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
FALCON MEDICAL INC
Practice address
46A Grissom Ave
Staten Island, NY 10314-4974
Phone
(718) 761-0297
Fax
(718) 761-0297
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Donna Khalil
Title
Ceo
Phone
(718) 450-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

46A Grissom Ave
Staten Island, NY 10314-4974

Mailing address

46A Grissom Ave
Staten Island, NY 10314-4974
Phone (718) 761-0297

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871011304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46A GRISSOM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144974",
            "telephone_number": "718-761-0297",
            "fax_number": "718-761-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46A GRISSOM AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144974",
            "telephone_number": "718-761-0297",
            "fax_number": "718-761-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-450-2633"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.