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NY EMPIRE MEDICAL PC
NPI 1902089568
Clinic/Center - Multi-Specialty in Ridgewood, NY

Active since December 06, 2007
5629 METROPOLITAN AVE, RIDGEWOOD, NY 11385(718) 418-0300(718) 418-0301 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ny Empire Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NY EMPIRE MEDICAL PC (NPI 1902089568) is a healthcare organization registered as a multi-specialty in Ridgewood, New York and active in the NPI registry since December 2007. The organization lists Mitchell L Kaphan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902089568
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNY EMPIRE MEDICAL PC
Location Address5629 METROPOLITAN AVERidgewood, NY 11385-1975
Mailing Address5629 Metropolitan AveRidgewood, NY 11385-1975 · (718) 418-0300 · Fax (718) 418-0301
Phone(718) 418-0300
Fax(718) 418-0301
Organization SubpartNo
Authorized OfficialMitchell L KaphanMedical Director · (718) 418-0300
Enumeration DateDecember 6, 2007
Last NPPES UpdateMay 4, 2015
✔ NPI 1902089568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOptometristTaxonomy 152W00000X · License TUV006843 (NY)
Also ListedSpecialistTaxonomy 174400000X · License 139985 (NY)
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
5629 METROPOLITAN AVE, Ridgewood, NY 11385
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Other Identifiers 3

Other139985NY · License
Medicare PIN08278NY
Medicare UPINA64864

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIDGEWOOD MEDICAL DIAGNOSTIC PC
Family Medicine
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 648-5858
MELINDA MABUTAS PT
Physical Therapist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 576-3277
KIM CAPENA
Physical Therapist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
MK HEALTHCARE MEDICAL PC
Specialist
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
PANKAJ K MAMTORA MD
Internal Medicine
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300
DR. STELLA ILYAEV M.D.
Internal Medicine
5629 METROPOLITAN AVE
RIDGEWOOD, NY 11385
Queens County (718) 418-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ny Empire Medical PC's NPI number?

The NPI number for Ny Empire Medical PC is 1902089568. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Ny Empire Medical PC located?

Ny Empire Medical PC is located at 5629 Metropolitan Ave, Ridgewood, NY 11385. The listed phone number is (718) 418-0300.

What is Ny Empire Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ny Empire Medical PC was last updated on May 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.