Prime One Medical Services PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

234524 Issued in NY

Legal business name

PRIME ONE MEDICAL SERVICES PLLC

Practice address

2515 Crescent St
Astoria, NY 11102-4370

Phone

(718) 932-1740

NPI assigned

Dec 3, 2014

Last updated

Dec 3, 2014By 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. Ari Benjamin Lerner, MDNPI 1114958717

Title

President

Phone

(917) 586-3095

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Ari Benjamin Lerner, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Astoria, NY
  • NPI 1114958717

  Ambulatory Surgical

  NPD (past) Authorized official
• Ryan Tiernan

  • Physician Assistant
  • Astoria, NY
  • NPI 1306647789
  NPD (past)
• Theodore Junior Xenos, D.C.

  • Chiropractor
  • Bronx, NY
  • NPI 1023343399
  NPD (past)

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1912304130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024370",
            "telephone_number": "718-932-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024370",
            "telephone_number": "718-932-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ONE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "ARI",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-586-3095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "234524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Nicole Prendi, LMHC
• Samantha Brett Prestano, MHC-LP
• Nora Dawn Presutti, OTR/L
• Prevail Physical Therapy, LLC
• Maricela Prieto
• Prime Optics LLC
• Prime Well Pharmacy Inc.
• Pro Care Physical Therapy Group PC
• Vanessa Elizabeth Proano Ron
• Procare Services Inc,

• Ambulatory Surgical Clinic/Center in Astoria, NY
• Providers in Astoria, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.