QUEENS MEDICAL OFFICE, P.C. (NPI# 1811370927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811370927 |
| Entity Type | Organization |
| Organization Name | QUEENS MEDICAL OFFICE, P.C. |
| Practice Address |
9033 Elmhurst Ave Jackson Heights NY 11372-7935 |
| Practice Telephone | 7184577000 |
| Mailing Telephone | 7184577000 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | MAGGIE CRUZ (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7184577000 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 018779 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE # | 018779 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922017789 | Queens Medical Office, P.C. | Family Medicine | 4046 74th St, Elmhurst, NY 11373-5602 | 2006-08-07 |
| Street Address |
9033 ELMHURST AVE |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357970 | Alfredo Castillo | Family Medicine | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2005-09-21 |
| 1184249609 | Manuel R Peralta | Physical Therapy Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2020-06-10 |
| 1003390121 | Pamela Alejandra Garcia | Social Worker | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2018-09-25 |
| 1457850893 | Tiffany Guerrero | Registered Nurse | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2018-02-11 |
| 1093198004 | Monica Mizhquiri | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2015-07-08 |
| 1811336167 | Jarenys Meredith Fernandez | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2013-06-20 |
| 1124347240 | Ralph Tuason Rubio | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2010-05-28 |
| 1902052475 | Bradley Alvarez | Dentist | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2008-08-14 |
| 1942477781 | Liliana Mcfetridge | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2008-05-12 |
| 1750568085 | Parkway Medical Services, P.C. | Internal Medicine | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2008-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928986 | Aimin Ouyang | Physician Assistant | 8611 34th Ave Apt 2e, Jackson Heights, NY 11372-3321 | 2017-08-22 |
| 1083071948 | Yanira Mercedes Sanchez | Physician Assistant | Nyc Medical Care, 79-16 37th Avenue, Jackson Heights, NY 11372 | 2016-01-24 |
| 1013388909 | Jennifer Wang | Physician Assistant | 3753 78th St, Jackson Heights, NY 11372-6631 | 2015-10-17 |
| 1891179891 | Ye Seul Jung | Physician Assistant | 8104 Roosevelt Ave, Jackson Heights, NY 11372-6746 | 2015-07-20 |
| 1851601314 | Kevin Curo | Physician Assistant | 3543 84th St Apt 104, Jackson Heights, NY 11372-5375 | 2010-10-19 |
| 1982892725 | Karina Chu-boyle | Physician Assistant | 3710 76th St, Apt. 4b, Jackson Heights, NY 11372-6531 | 2007-10-05 |
| 1447462031 | Alejandro Mendez | Physician Assistant | 3763 83rd St, Suite 202-c, Jackson Heights, NY 11372-7146 | 2007-05-04 |
| 1124046305 | Charise Yvonne Guadarrama | Physician Assistant | 93-19 Roosevelt Avenue, Jackson Heights, NY 11372 | 2006-07-17 |
| 1003280041 | Andrea Martinez Villalobos | Physician Assistant | 9014 Elmhurst Ave, Second Floor, Jackson Heights, NY 11372-7936 | 2015-11-13 |
| 1093198004 | Monica Mizhquiri | Physician Assistant | 9033 Elmhurst Ave, Jackson Heights, NY 11372-7935 | 2015-07-08 |
| Find all providers in JACKSON HEIGHTS | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.