Active NPI
Briarwood Medical PC
- Pediatrics Physician
- Briarwood, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BRIARWOOD MEDICAL PC
- Practice address
- 8515 Main St
Suite E
Briarwood, NY 11435-1879 - Phone
- (718) 523-7188
- Fax
- (718) 523-5295
- NPI assigned
- Jun 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yakov Yagudayev, MD
- Title
- Medical Director
- Phone
- (718) 523-7188
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
8515 Main St
Suite E
Briarwood, NY 11435-1879
Mailing address
8515 Main St
Briarwood, NY 11435-1879
Phone (718) 523-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Briarwood Medical PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Briarwood, NY
- NPI 1639576564
Locations
8515 Main St
Ste E
Jamaica, NY 11435
Phone (718) 206-2990
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Briarwood, NY
- NPI 1144380981
-
- Nurse Practitioner
- New York, NY
- NPI 1306048665
-
- Pediatrics Physician
- Briarwood, NY
- NPI 1700340155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275436800000",
"number": "1972823987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 MAIN ST",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351879",
"telephone_number": "718-523-7188",
"fax_number": "718-523-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8515 MAIN ST",
"address_2": "SUITE E",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351879",
"telephone_number": "718-523-7188",
"fax_number": "718-523-5295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIARWOOD MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-02",
"last_updated": "2010-06-02",
"status": "A",
"authorized_official_last_name": "YAGUDAYEV",
"authorized_official_first_name": "YAKOV",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "17185237188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.