Organization Active NPI

Doc at Home Medical, P.C.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1942621511
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOC AT HOME MEDICAL, P.C.
Practice address
535 5TH Ave FL 4
New York, NY 10017-8020
Phone
(888) 496-5115
Fax
(516) 612-4975
NPI assigned
Dec 26, 2013
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Dr. Reginald D Hughes, MDNPI 1619047958
Title
Medical Director
Phone
(855) 865-9697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

535 5TH Ave FL 4
New York, NY 10017-8020

Mailing address

535 5TH Ave FL 4
New York, NY 10017-8020
Phone (888) 496-5115

Other practice location 1

13130 Merrick Blvd
Jamaica, NY 11434-4134
Phone (718) 233-2556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121001443 NY Part B Supplier - Clinic/Group Practice 0345675393 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Brooklyn, NY; Jamaica, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

369 E 148th St
Bronx, NY 10455
Phone (347) 791-2526

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": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1942621511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178020",
            "telephone_number": "888-496-5115",
            "fax_number": "866-223-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100178020",
            "telephone_number": "888-496-5115",
            "fax_number": "516-612-4975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13130 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114344134",
            "country_code": "US",
            "telephone_number": "718-233-2556",
            "fax_number": "718-233-2569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOC AT HOME MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-865-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.