Organization Active NPI

Floral Park Arthritis, PC

  • Specialist
  • Floral Park, NY
National Provider Identifier
1982891768
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
191991 Issued in NY
Legal business name
FLORAL PARK ARTHRITIS, PC
Practice address
26112 E Williston Ave
Floral Park, NY 11001-1145
Phone
(718) 347-8888
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Bruce Scott Stein, MDNPI 1982631545
Title
President
Phone
(718) 347-8888

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 191991 NY Primary

Addresses

Primary practice location

26112 E Williston Ave
Floral Park, NY 11001-1145

Mailing address

26112 E Williston Ave
Floral Park, NY 11001-1145
Phone (718) 347-8888

Other identifiers 1

IdentifierTypeStateIssuer
01840188MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000025 NY Part B Supplier - Clinic/Group Practice 1254349566 Receives reassigned benefits from 1 practitioner
Practice locations: Floral Park, NY

National Provider Directory

National Provider Directory

Locations

26112 E Williston Ave
Floral Park, NY 11001
Phone (718) 347-8888

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76594

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1982891768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26112 E WILLISTON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011145",
            "telephone_number": "718-347-8888",
            "fax_number": "718-347-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26112 E WILLISTON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011145",
            "telephone_number": "718-347-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORAL PARK ARTHRITIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-347-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "191991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01840188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.

Verify at the official NPI Registry.