Organization Active NPI

Alfamed Physician PC

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1992753461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALFAMED PHYSICIAN PC
Practice address
20 08 Seagirt Blvd
Alfamed Physician PC
Far Rockaway, NY 11691
Phone
(718) 868-4553
Fax
(718) 868-4831
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Obiora O Anyoku, MDNPI 1225093180
Title
President Medical Director
Phone
(718) 868-4553

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

20 08 Seagirt Blvd
Alfamed Physician PC
Far Rockaway, NY 11691

Mailing address

2008 Seagirt Blvd
Alfamed Physician PC
Far Rockaway, NY 11691
Phone (718) 868-4553

Other identifiers 1

IdentifierTypeStateIssuer
134914OtherAETNA

National Provider Directory

National Provider Directory

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992753461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 SEAGIRT BLVD",
            "address_2": "ALFAMED PHYSICIAN PC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-868-4553",
            "fax_number": "718-868-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 08 SEAGIRT BLVD",
            "address_2": "ALFAMED PHYSICIAN PC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-868-4553",
            "fax_number": "718-868-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFAMED PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANYOKU",
        "authorized_official_first_name": "OBIORA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-868-4553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "134914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.