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NEW AGE MEDICAL PC NPI 1174855688


NPI Information

NPI: 1174855688
Provider Name: NEW AGE MEDICAL, PC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
11120 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375
Phone: (718) 263-2208
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NEW AGE MEDICAL, PC is a radiology clinic center in Forest Hills, NY. NEW AGE MEDICAL, PC NPI is 1174855688. The provider is registered as an organization entity type.

The provider's business location address is:

11120 QUEENS BLVD
FOREST HILLS, NY
ZIP 11375-341
Phone: (718) 263-2208
Fax: (718) 263-3442

The provider's authorized official is Munish Khaneja .
The authorized official title is President and has the following contact phone number (718) 812-4753.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 2/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.