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).
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 |
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 |
Street Address |
1000 ZECKENDORF BLVD |
City | GARDEN CITY |
State | NY |
Zip Code | 11530-2133 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | GARDEN CITY |
Zip Code | 11530 |
Please comment or provide details below to improve the information on QLIMG LAKE SUCCESS/NEW HYDE PARK MED. OFFICE.
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.