TD ADVANCED MEDICAL PC (NPI# 1760714349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760714349 |
| Entity Type | Organization |
| Organization Name | TD ADVANCED MEDICAL PC |
| Practice Address |
11054 Springfield Blvd Queens Village NY 11429-2521 |
| Mailing Address |
683 Half Hollow Rd Dix Hills NY 11746-6232 |
| Practice Telephone | 7187404984 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | DR. LESLIE THEODORE (PRESIDENT) |
| Authorized Official Telephone | 7187404984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11054 SPRINGFIELD BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11429-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106199 | Cynthia Joseph | Nutritionist | 100-11 208th Street, Queens Village, NY 11429 | 2020-02-13 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1912430901 | Firmause Payen | Specialist | 98-35 211th Street, Queens Village, NY 11429 | 2017-04-06 |
| 1891238515 | Kristen Joassaint | Licensed Practical Nurse | 99-09 217th Lane, Queens Village, NY 11429 | 2016-11-29 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| 1295190627 | Apak Chiropractic | Chiropractor | 218-02 Hempstead Avenue, 2nd Floor, Queens Village, NY 11429 | 2015-12-30 |
| 1548636996 | Donetta Thomas | Licensed Practical Nurse | 20940 111th Avenue, Queens Village, NY 11429 | 2015-08-19 |
| 1407222920 | Elizabeth O Shodimu | Nutritionist | 110-16 Sutphin Blvd, 111-08 Witthoff Street, Queen's Village, NY 11429 | 2015-08-19 |
| 1669869582 | Koffi Kodoe | Skilled Nursing Facility | 21223 Hollis Ave, Queens Village, NY 11429 | 2015-04-17 |
| Find all providers in zip 11429 | ||||
| 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 |
|---|---|---|---|---|
| 1477178150 | Asif Alam Khan | Internal Medicine | 9029 219th St, Queens Village, NY 11428-1340 | 2020-06-09 |
| 1043520398 | Dhruv Mahendra Amin | Internal Medicine | 21814 Hillside Ave, Queens Village, NY 11427-1951 | 2010-10-19 |
| 1134381015 | Vrs Medical Pllc | Internal Medicine | 21518 91st Ave, Queens Village, NY 11428-1217 | 2008-07-01 |
| 1477685238 | Ann Catherine Morgan | Internal Medicine | 8045 Winchester Blvd Bldg 71, Bernard Fineson Hillside Campus, Queens Village, NY 11427-2193 | 2007-03-09 |
| 1912069493 | Antoine Victor Charles | Internal Medicine | 20809 Hillside Avenue, Queens Village, NY 11427 | 2006-12-14 |
| 1083776561 | Eusebe Constantin | Internal Medicine | 103 12 Springfield Boulevard, Queens Village, NY 11429-2049 | 2006-12-14 |
| 1093880957 | Aryel Nicoleau | Internal Medicine | 9204 Springfield Boulevard, Queens Village, NY 11428 | 2006-11-22 |
| 1265511877 | Rakesh K. Bhardwaj | Internal Medicine | 8945 Springfield Blvd, Queens Village, NY 11427-2513 | 2006-11-03 |
| 1386723229 | Joseph Jean Nicolas | Internal Medicine | 10415 Springfield Blvd, Queens Village, NY 11429-2032 | 2006-11-02 |
| 1033210646 | Azra Wiqas | Internal Medicine | 8602 Musket St, Queens Village, NY 11427-2718 | 2006-09-26 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11429 |
Please comment or provide details below to improve the information on TD ADVANCED MEDICAL PC.
| 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.