OMNI MEDICAL GROUP PLLC (NPI# 1497136790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136790 |
| Entity Type | Organization |
| Organization Name | OMNI MEDICAL GROUP PLLC |
| Practice Address |
6413 Broadway Woodside NY 11377-2336 |
| Mailing Address |
10 Barrypark Ct Albertson NY 11507-1502 |
| Practice Telephone | 7182056561 |
| Mailing Telephone | 7182056561 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | DR. SHAMIM AHMED (MANAGING PARTNER) |
| Authorized Official Telephone | 7182056561 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 237709 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6413 BROADWAY |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003839655 | Shamim Ahmed | Internal Medicine | 6413 Broadway, Woodside, NY 11377-2336 | 2006-07-25 |
| 1851812440 | Gastrohealth Medical P.C. | Internal Medicine | 6413 Broadway, Woodside, NY 11377 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174014971 | Gramercy Medical PC | Internal Medicine | 3120 54th St Ste L2, Woodside, NY 11377-1549 | 2018-05-29 |
| 1144653072 | Queens Wound & Medical Care PC | Internal Medicine | 6535 Queens Blvd, Woodside, NY 11377-5769 | 2013-08-14 |
| 1689972317 | Crystal Medical Care,p.c. | Internal Medicine | 6914 41st Ave, Ste C1, Woodside, NY 11377-4028 | 2011-03-03 |
| 1497076129 | Aleem Anthony Ali | Internal Medicine | 6918 32nd Ave, Woodside, NY 11377-2033 | 2010-06-16 |
| 1992023691 | Medical Care At Home, PC | Internal Medicine | 61-10 Queens Boulevard, 2nd Floor, Woodside, NY 11377-5771 | 2010-05-06 |
| 1114244712 | Woodside Medical Practice, P.C. | Internal Medicine | 65 06 Roosevelt Avenue, Woodside, NY 11377-2928 | 2010-04-23 |
| 1710118435 | Vishwanath Valagerehally Puttaswamygowda | Internal Medicine | 6914 41 St Ave, Unit C1, Woodside, NY 11377 | 2009-07-29 |
| 1952505331 | Woodside Medical Diagnostic, PC. | Internal Medicine | 3120 54th St, Suite L2, Woodside, NY 11377-1530 | 2007-06-12 |
| 1225153356 | Marissa T Santos, Md PC | Internal Medicine | 6911 Roosevelt Ave # B, Woodside, NY 11377-2933 | 2007-03-20 |
| 1477683480 | Alfred Vincent De Rosa | Internal Medicine | 4844 44th St, Woodside, NY 11377-6937 | 2007-03-07 |
| Find all providers in WOODSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.