9317 MEDICAL OFFICE PC (NPI# 1871707372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871707372 |
| Entity Type | Organization |
| Organization Name | 9317 MEDICAL OFFICE PC |
| Practice Address |
9317 Roosevelt Ave Jackson Heights NY 11372-7943 |
| Practice Telephone | 7184460270 |
| Practice Fax Number | 7184465939 |
| Mailing Telephone | 7184460270 |
| Mailing Fax Number | 7184465939 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA J MARRERO (OFFICE MANAGER) |
| Authorized Official Telephone | 7184460270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01748636 | 05 |
| Street Address |
9317 ROOSEVELT AVE |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295749570 | Pedro Goiricelaya | Pediatrics | 9317 Roosevelt Ave, Jackson Heights, NY 11372-7943 | 2006-07-29 |
| 1659738797 | Pedro Pablo Del Toro Baez M.d., P.C. | Internal Medicine | 9317 Roosevelt Ave, Jackson Heights, NY 11372-7943 | 2016-01-20 |
| 1902229693 | Rolando M. Melendez Dpm PC | Podiatrist | 9317 Roosevelt Ave, Jackson Heights, NY 11372-7943 | 2014-01-30 |
| 1700106143 | Pedro Pablo Del Toro Baez | Internal Medicine | 9317 Roosevelt Ave, Jackson Heights, NY 11372-7943 | 2010-06-08 |
| 1629393350 | Rolando Mario Melendez | Podiatrist | 9317 Roosevelt Ave, Jackson Heights, NY 11372-7943 | 2010-04-06 |
| 1861572562 | Albert Castro Marcano | Nurse Practitioner | 9317 Roosevelt Ave, 2nd Floor, Jackson Heights, NY 11372-7943 | 2006-10-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1316479041 | Erfanul Saker | Internal Medicine | 3715 78th St, Jackson Heights, NY 11372-6631 | 2017-03-31 |
| 1699217174 | Nyc Local Medical Care P.C. | Internal Medicine | 7134 Roosevelt Ave, Jackson Heights, NY 11372-6137 | 2016-11-15 |
| 1689938763 | Rahul Raja Valluru | Internal Medicine | 3720 77th St Apt 2f, Jackson Heights, NY 11372 | 2012-07-03 |
| 1437444098 | Wasilah Suleiman | Internal Medicine | 82-11 37th Avenue 5th Floor, Jackson Heights, NY 11372 | 2011-06-12 |
| 1750671160 | Milan Glumicic | Internal Medicine | 3515 78th St, Jackson Heights, NY 11372-4740 | 2011-04-19 |
| 1033437827 | Towhid Hossain Shiblee | Internal Medicine | 3730 73rd St Ste Pq, Jackson Heights, NY 11372-6233 | 2010-05-04 |
| 1063697480 | Rafiqur Rahman Chowdhury | Internal Medicine | 3733 77th St, Jackson Heights, NY 11372-6629 | 2008-01-03 |
| 1013124544 | Jose E Ortiz | Internal Medicine | 7916 37th Ave, Jackson Heights, NY 11372-6748 | 2007-05-16 |
| 1467593889 | Jackson Heights Med Off | Internal Medicine | 3758 72 Street, Jackson Heights, NY 11372 | 2007-02-09 |
| 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.