First Premier Care Medical, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

090193 Issued in NY

Legal business name

FIRST PREMIER CARE MEDICAL, P.C.

Practice address

20607 Hillside Ave
Queens Village, NY 11427-1709

Phone

(917) 929-8589

Fax

(516) 270-2755

NPI assigned

Jul 30, 2011

Last updated

Jul 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dante Acebo Cubangbang, MD

Title

Director/ President

Phone

(917) 929-8589

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311984000000",
    "number": "1871871483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 OAKS DR",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101936",
            "telephone_number": "917-929-8589",
            "fax_number": "516-270-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20607 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271709",
            "telephone_number": "917-929-8589",
            "fax_number": "516-270-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PREMIER CARE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A",
        "authorized_official_last_name": "CUBANGBANG",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "ACEBO",
        "authorized_official_title_or_position": "DIRECTOR/ PRESIDENT",
        "authorized_official_telephone_number": "917-929-8589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "090193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; 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.