QLIMG LAKE SUCCESS/NEW HYDE PARK MED. OFFICE


Address: 1000 Zeckendorf Blvd, Garden City, NY 11530-2133
Phone: 5163555800

QLIMG LAKE SUCCESS/NEW HYDE PARK MED. OFFICE (NPI# 1720178486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720178486
Entity Type Organization
Organization Name QLIMG LAKE SUCCESS/NEW HYDE PARK MED. OFFICE
Practice Address 1000 Zeckendorf Blvd
Garden City
NY 11530-2133
Mailing Address 1991 Marcus Ave
2nd Floor
New Hyde Park
NY 11042-2057
Practice Telephone 5163555800
Practice Fax Number 5163555877
Mailing Telephone 5163541600
Mailing Fax Number 5169414672
Enumeration Date 2006-10-13
Last Update Date 2010-10-22
Authorized Official Name MARLENA SIMPSON (DIRECTOR OF CREDENTIALING)
Authorized Official Telephone 5165426880
Authorized Official Credential CPMSM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
Allopathic & Osteopathic Physicians
N 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 ZECKENDORF BLVD
City GARDEN CITY
State NY
Zip Code 11530-2133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437131190 Hallie Weiss Anesthesiology 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2005-11-17
1821453572 Lifetime Physical Therapy and Chiropractic Rehabilitation Pllc Chiropractor 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2015-12-23
1780841569 Kristine Michelle Cruz Surgery 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2008-05-20
1083741177 Shira M Feinstein Obstetrics & Gynecology 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2007-02-27
1902963838 Queenslongislandmedicalgppc Clinic/Center 1000 Zeckendorf Blvd, Garden City, NY 11530 2007-01-02
1104916865 Qlimg Cambria Heights Med. Office Allergy & Immunology 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2006-10-13
1659327963 Sidney Felsenstein Podiatrist 1000 Zeckendorf Blvd, Garden City, NY 11530-2133 2006-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144850207 Ellen Jay Palacio Mabatid Physical Therapist 66 New Hyde Park, Garden City, NY 11530 2020-01-16
1255991022 Rubin Anesthesia Pain Management, Pllc Anesthesiology 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 2019-06-14
1144793720 Jack Doby Garden City, LLC Eyewear Supplier (Equipment, not the service) Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 2019-01-07
1386135051 Granger & Sahasra Dentist 1103 Stewart Avenue Suite 104, Garden City, NY 11530 2018-05-29
1598262537 Suzanne P. Reid-bradshaw Specialist Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 2018-04-06
1972021129 Nicole Maria Gaudino Nurse Practitioner One South Avenue, Waldo Hall, Garden City, NY 11530 2017-09-07
1619495645 Christine Scheppa Registered Nurse 225 Brompton Rd South, Garden City South, NY 11530 2017-08-30
1699290981 Deborah Ann Pontosky Registered Nurse 104 Fifth Street, Garden City, NY 11530 2017-08-08
1932648748 Tahmina Jahir Student in an Organized Health Care Education/Training Program 15 Hilton Ave, Garden City, NY 11530 2017-02-14
1598209173 Dino Michelli Specialist 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 2016-12-15
Find all providers in zip 11530

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407474562 Pravalika Rudraraju Internal Medicine 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 2020-07-06
1780200469 Abed L Dabaja Internal Medicine 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 2020-06-18
1124667316 Independence Medical Pllc Internal Medicine 6255 Inkster Rd Ste 101, Garden City, MI 48135-2538 2020-01-05
1548802218 Prime Garden City Medical Group Internal Medicine 6255 Inkster Rd Ste 302, Garden City, MI 48135-2538 2019-10-14
1033699830 New York University Internal Medicine 601 Franklin Ave Ste 215, Garden City, NY 11530-5760 2018-08-21
1023538337 Nishedh Nayan Dave Internal Medicine 6245 Inkster Rd., Garden City, MI 48135 2017-06-27
1073851226 Vincent Prestyly Internal Medicine 75 Russell Rd, Garden City, NY 11530-1933 2013-01-23
1831461417 Manuel Licitra Fajardo Internal Medicine 100 Somerset Ave, Garden City, Garden City, NY 11530-1231 2012-01-30
1831338417 Ferrara and Mirro, Md's Internal Medicine 1103 Stewart Ave Ste 210, Garden City, NY 11530-4886 2009-02-05
1124237318 Mark B Wishnuff Internal Medicine 700 Commercial Ave, Garden City, NY 11530-6410 2007-05-22
Find all providers in GARDEN CITY

Competitor

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City GARDEN CITY
Zip Code 11530

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Dataset Information

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.

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