QUEENS PEDIATRIC CARDIOLOGY, PC (NPI# 1710032453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710032453 |
| Entity Type | Organization |
| Organization Name | QUEENS PEDIATRIC CARDIOLOGY, PC |
| Practice Address |
8708 Justice Ave Suite Cf Elmhurst NY 11373-4590 |
| Practice Telephone | 7185650700 |
| Mailing Telephone | 7185650700 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-04-10 |
| Authorized Official Name | DR. DAMODAR THAMBIREDDY (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7185650700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
234477 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02624133 | 05 |
| Street Address |
8708 JUSTICE AVE SUITE CF |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-4590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439194 | Michele Frances Belding | Internal Medicine | 8708 Justice Ave, Suite Ce, Elmhurst, NY 11373-4575 | 2005-07-07 |
| 1306391586 | Nazirber D De La Cruz Restituyo | Dietitian, Registered | 8708 Justice Ave, Ste C6, Elmhurst, NY 11373-4575 | 2016-08-17 |
| 1821449752 | Cardiovascular Care Nyc PC | Internal Medicine | 8708 Justice Ave, Suite 1c, Elmhurst, NY 11373-4575 | 2016-06-22 |
| 1700247566 | Kayi Cheung | Dietitian, Registered | 8708 Justice Ave, Unit C6, Elmhurst, NY 11373-4575 | 2016-03-08 |
| 1790114726 | Elmhurst Medical Provider Inc | Internal Medicine | 8708 Justice Ave, Elmhurst, NY 11373-4575 | 2013-11-12 |
| 1164857793 | Chihung Peng | Pharmacist | 8708 Justice Ave, Pharmacy, Elmhurst, NY 11373-4575 | 2013-09-13 |
| 1750636221 | Np In Adult Health Diagnostic and Treatment, Pllc | Emergency Medical Technician, Basic | 8708 Justice Ave, 2e, Elmhurst, NY 11373-4575 | 2012-07-19 |
| 1700193273 | Nymc | Emergency Medicine | 8708 Justice Ave, Ste 2e, Elmhurst, NY 11373-4575 | 2010-09-07 |
| 1417261074 | Annie Guiqing Lo | Social Worker | 8708 Justice Ave, Elmhurst, NY 11373-4575 | 2010-08-05 |
| 1861705378 | Ny Cardiovascular Diagnostic, PC | Internal Medicine | 8708 Justice Ave, Suite 1a, Elmhurst, NY 11373-4575 | 2010-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995771 | Susan Beker | Pediatrics | 157 Barlow Dr S, Brooklyn, NY 11234 | 2014-05-24 |
| 1750624995 | Maher Nazih Abadeer | Pediatrics | Ur Medicine Golisano Children's Hospital, 601 Elmwood Ave, Rochester, NY 14642 | 2013-04-05 |
| 1891037578 | Chalese Katche Richardson-olivier | Pediatrics | 1111 Marcus Ave Ste M15, New Hyde Park, NY 11042-1034 | 2013-03-20 |
| 1750637328 | Ankur Bharat Shah | Pediatrics | 14601 45th Ave Ste 302, Flushing, NY 11355-2280 | 2012-07-31 |
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1730447525 | Jess T. Randall | Pediatrics | 319 S. Manning Blvd, Suite 203, Albany, NY 12208 | 2012-04-30 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1134442999 | Ivan G Dimich | Pediatrics | 201east79thstreetsuite, 20 E, New York, NY 10075-0836 | 2010-03-09 |
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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.