Organization Active NPI

Firsthand Medical of New York PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1952027443
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FIRSTHAND MEDICAL OF NEW YORK PC
Practice address
524 Broadway FL 11
New York, NY 10012-4471
Phone
(844) 378-4263
Fax
(855) 384-1969
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Joseph Parks, MD
Title
Chief Medical Director
Phone
(873) 864-8733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

524 Broadway FL 11
New York, NY 10012-4471

Mailing address

524 Broadway FL 11
New York, NY 10012-4471
Phone (844) 378-4263

National Provider Directory

National Provider Directory

Locations

524 Broadway
Fl 7
New York, NY 10012

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1952027443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BROADWAY FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124471",
            "telephone_number": "844-378-4263",
            "fax_number": "855-384-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BROADWAY FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124471",
            "telephone_number": "844-378-4263",
            "fax_number": "855-384-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHAND MEDICAL OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "873-864-8733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 26, 2023; 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.