Organization Active NPI

Western Care Medical PC

  • Specialist
  • Jackson Heights, NY
National Provider Identifier
1871038315
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22523 Issued in NY
Legal business name
WESTERN CARE MEDICAL PC
Practice address
7017 37TH Ave
1St FLR
Jackson Heights, NY 11372-3922
Phone
(718) 565-5600
Fax
(718) 565-5600
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Ferdous KhandkerNPI 1205896800
Title
M.D.
Phone
(718) 565-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22523 NY Primary

Addresses

Primary practice location

7017 37TH Ave
1St FLR
Jackson Heights, NY 11372-3922

Mailing address

7017 37TH Ave
1St FLR
Jackson Heights, NY 11372-3922
Phone (718) 565-5600

Other identifiers 1

IdentifierTypeStateIssuer
02300407MedicaidNY

National Provider Directory

National Provider Directory

Locations

7017 37th Ave
#1
Jackson Heights, NY 11372
Phone (718) 565-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1871038315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 37TH AVE",
            "address_2": "1ST FLR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-565-5600",
            "fax_number": "718-565-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 37TH AVE",
            "address_2": "1ST FLR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-565-5600",
            "fax_number": "718-565-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "KHANDKER",
        "authorized_official_first_name": "FERDOUS",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-565-5600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "22523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02300407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.