Fayda Medical Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

172367-2 Issued in NY

Legal business name

FAYDA MEDICAL CARE PC

Practice address

16204 Jamaica Ave FL 5
Jamaica, NY 11432-4917

Phone

(718) 206-4420

Fax

(718) 206-4423

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Yury F Fayda, M.D.

Title

Physician

Phone

(718) 206-4420

Specialties & licenses 1

Addresses

Tax ID family

Fayda Medical Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Priority Medical Group P.C.

  • Legal Medicine
  • Jamaica, NY
  • NPI 1346607868
  NPD tax ID

Locations

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1962876300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE FL 5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324917",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16204 JAMAICA AVE FL 5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324917",
            "telephone_number": "718-206-4420",
            "fax_number": "718-206-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYDA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "FAYDA",
        "authorized_official_first_name": "YURY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-206-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "172367-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zumaira Fatima, M.D.,
• Akeem B Fatola, PT
• Hannah Olufadeke Fatola, RN
• Shani A Faure
• Fayda Medical Care PC
• Michail Fazylov, DO
• Feathered Serenity Care, LCSW, PLLC
• Melvin Featherstone
• Joan Ann Feeney, LCSW
• Mayra Feijoo, LCSW

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.