ELMHURST MEDICAL PROVIDER INC (NPI# 1790114726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790114726 |
Entity Type | Organization |
Organization Name | ELMHURST MEDICAL PROVIDER INC |
Practice Address |
8708 Justice Ave Elmhurst NY 11373-4575 |
Practice Telephone | 3479249530 |
Mailing Telephone | 3479249530 |
Enumeration Date | 2013-11-12 |
Last Update Date | 2013-11-12 |
Authorized Official Name | PERRY STARER (MD) |
Authorized Official Telephone | 3479249530 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
8708 JUSTICE AVE |
City | ELMHURST |
State | NY |
Zip Code | 11373-4575 |
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 |
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 |
1891026050 | Yee Nok Yu | Registered Nurse | 8708 Justice Ave, Elmhurst, NY 11373-4575 | 2010-01-27 |
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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 | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1023354800 | Malik Megjhani | Internal Medicine | 8301 Grand Avenue, Elmhurst, NY 11373 | 2012-12-22 |
1548424963 | Kyawt Thandar Aung | Internal Medicine | 5223 Van Loon St, Elmhurst, NY 11373-4258 | 2008-07-15 |
1073574398 | Uday Niranjan Shah | Internal Medicine | 4112 Judge St, Elmhurst, NY 11373-2344 | 2006-03-28 |
1174939516 | Naeem Chaudhry Md PC | Internal Medicine | 8301 Grand Ave, Elmhurst, NY 11373-4104 | 2014-07-07 |
1770919466 | Phoenix Medical Office Pllc | Internal Medicine | 5223 Van Loon St, Elmhurst, NY 11373-4258 | 2013-09-25 |
1053581801 | Internal Medicine & Geriatrics Pllc | Internal Medicine | 9412 59th Ave, Elmhurst, NY 11373-5151 | 2008-03-07 |
1336117084 | Patricia A Merwick | Internal Medicine | 533 W North Ave, Suite 101, Elmhurst, IL 60126-2135 | 2006-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1770116956 | Wellbeing Medical Care, Pllc | Internal Medicine | 3745 75th Street, Jackson Heights, NY 11372-6435 | 2020-02-17 |
1962044396 | Shafi S Rana | Internal Medicine | 504 Hillside Blvd, New Hyde Park, NY 11040-2912 | 2019-10-17 |
1104468099 | Lebarty Medical Pllc | Internal Medicine | 317 Danielle Dr, Schenectady, NY 12303-5179 | 2019-10-11 |
1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
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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.