Organization Active NPI

Greenpoint Medical PC

  • Primary Care Clinic/Center
  • Sunnyside, NY
National Provider Identifier
1942509765
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GREENPOINT MEDICAL PC
Practice address
4710 Greenpoint Ave FL 2
Sunnyside, NY 11104-1710
Phone
(718) 383-0830
Fax
(718) 383-3824
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Francisco Bautista, MD
Title
Director
Phone
(718) 383-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4710 Greenpoint Ave FL 2
Sunnyside, NY 11104-1710

Mailing address

4710 Greenpoint Ave FL 2
Sunnyside, NY 11104-1710
Phone (718) 383-0830

National Provider Directory

National Provider Directory

Locations

4710 Greenpoint Ave
Ste 2
Sunnyside, NY 11104
Phone (718) 383-0830

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1942509765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 GREENPOINT AVE FL 2",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041710",
            "telephone_number": "718-383-0830",
            "fax_number": "718-383-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 GREENPOINT AVE FL 2",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041710",
            "telephone_number": "718-383-0830",
            "fax_number": "718-383-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPOINT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-383-0830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.