NPIMap

Organization Active NPI

Fegs Rego Park MNL HLTH

  • Clinic/Center
  • Rego Park, NY
National Provider Identifier
1982643995
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6287102A Issued in NY
Legal business name
FEGS REGO PARK MNL HLTH
Practice address
9745 Queens Blvd
Rego Park, NY 11374-2101
Phone
(718) 896-9090
Fax
(718) 830-0724
NPI assigned
Jun 5, 2006
Last updated
Oct 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Ms. Kristin Woodlock
Title
Coo
Phone
(212) 366-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6287102A NY Primary

Addresses

Primary practice location

9745 Queens Blvd
Rego Park, NY 11374-2101

Mailing address

315 Hudson St
9TH FL.
New York, NY 10013-1009
Phone (212) 366-8007

Other identifiers 1

IdentifierTypeStateIssuer
00257805MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Fegs11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

315 Hudson St
Fl 9
New York, NY 10013
Phone (212) 366-8007

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1982643995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HUDSON ST",
            "address_2": "9TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131009",
            "telephone_number": "212-366-8007",
            "fax_number": "212-366-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742101",
            "telephone_number": "718-896-9090",
            "fax_number": "718-830-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEGS REGO PARK MNL HLTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "WOODLOCK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "212-366-8402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "6287102A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00257805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.