Pearl Medical Center S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEARL MEDICAL CENTER S.C.

Practice address

1945 W Wilson Ave Ste 5115
Chicago, IL 60640-5258

Phone

(773) 506-1234

Fax

(773) 506-1235

NPI assigned

May 3, 2007

Last updated

Nov 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muqsita Nashat, M.D.NPI 1780628503

Title

President

Phone

(773) 506-1234

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muqsita Nashat, MD

  • Internal Medicine Physician
  • Hamilton, NJ
  • NPI 1780628503
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1992927511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 N CHRISTIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255004",
            "telephone_number": "773-866-2182",
            "fax_number": "773-866-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 5115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405258",
            "telephone_number": "773-506-1234",
            "fax_number": "773-506-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL MEDICAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "NASHAT",
        "authorized_official_first_name": "MUQSITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-506-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lacret Peake
• Jaysa Pearce, LSW
• William Pearce, MD
• Pearl Dental LLC
• Pearl Dental, LLC (advanced dental makeover)
• Pearl of Montclare, LLC
• Jodie L Pearl, MD
• Steven L Pearl, DDS
• Pearle Vision (eyeworks of chicago dba)
• Pearle Vision Inc

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.