Healthy Medical Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233906 Issued in NY

Legal business name

HEALTHY MEDICAL CARE

Practice address

9876 Queens Blvd
Suite 1K
Rego Park, NY 11374-4356

Phone

(718) 897-0300

Fax

(718) 897-3330

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Nikolai Lagoduke, MD

Title

Medical Director

Phone

(718) 897-0300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Roman Aulov, D.C.

  • Chiropractor
  • Rego Park, NY
  • NPI 1780629501
  NPD (past)
• Nelly Katan, R.D.

  • Registered Dietitian
  • Rego Park, NY
  • NPI 1689685935
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962431841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744356",
            "telephone_number": "718-897-0300",
            "fax_number": "718-897-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744356",
            "telephone_number": "718-897-0300",
            "fax_number": "718-897-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGODUKE",
        "authorized_official_first_name": "NIKOLAI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-897-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Haskes, O.D.
• Ahmed Elsayed Mohamed Hassan, PT
• Satinderjit Hayre, D.O.
• Dana Hazan, OT
• Nicole Marie Healey, SLP
• Healthy Nutrition Narratives P.C.
• Ashley Simone Heard
• Norman Hellman, LCSW
• Marc Henschel, D.D.S.
• Ethan Samuel Herman

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.