Individual provider Active NPI

Julius Winston Garvey, M.D.

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1952415507
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
107943 Issued in NY
Practice address
163 03 Horace Harding Expressway
Suite L L 3
Fresh Meadows, NY 11365
Phone
(718) 460-3791
Fax
(718) 460-2036
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 107943 NY Primary

Addresses

Primary practice location

163 03 Horace Harding Expressway
Suite L L 3
Fresh Meadows, NY 11365

Mailing address

2035 Lakeville Rd
Suite 300
New Hyde Park, NY 11040-1600
Phone (516) 326-3255

Other identifiers 4

IdentifierTypeStateIssuer
P00386738OtherNYRR MEDICARE
660861OtherNYNGS MEDICARE
85653OtherNYGHI MEDICARE
00190390MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1952415507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKEVILLE RD",
            "address_2": "SUITE 300",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401600",
            "telephone_number": "516-326-3255",
            "fax_number": "718-460-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 03 HORACE HARDING EXPRESSWAY",
            "address_2": "SUITE L L 3",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-460-3791",
            "fax_number": "718-460-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "JULIUS",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "107943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00386738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS MEDICARE",
            "identifier": "660861",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "85653",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190390",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.