MB Medical Healthcare PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

166626 Issued in NY

Legal business name

MB MEDICAL HEALTHCARE PC

Practice address

10525 64TH Ave
Forest Hills, NY 11375-1640

Phone

(718) 459-3494

Fax

(718) 275-8698

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bley, MD

Title

President

Phone

(718) 459-3494

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1992005664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-275-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 64TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751640",
            "telephone_number": "718-459-3494",
            "fax_number": "718-275-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-459-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "166626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maysonet-Cruz
• Rudyard A Maza, LCSW
• Josephine Mazara, RPH
• Mazhar Khurshid NP Family Health P.C.
• Kristine Maria Mazzo, RPA-C
• MB Pharmacy LLC
• Nyemo E Mbennah, MD
• Katy MC Allister, DPM
• Grace McAnally
• John R McAteer, LCSW

• Family Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.