Queens Family Medical Health and Wellness, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

206669 Issued in NY

Legal business name

QUEENS FAMILY MEDICAL HEALTH AND WELLNESS, PC

Practice address

11120 Queens Blvd
Forest Hills, NY 11375-6341

Phone

(718) 261-7600

Fax

(718) 261-7606

NPI assigned

Jul 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harvey Wieder, M.D.

Title

President

Phone

(718) 261-7600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1003015298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-261-7600",
            "fax_number": "718-261-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756341",
            "telephone_number": "718-261-7600",
            "fax_number": "718-261-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS FAMILY MEDICAL HEALTH AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-261-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Allergy & Asthma Care PLLC
• Queens Anesthesia Services PLLC
• Queens Atlantic Medical, PLLC
• Queens Central Pharmacy Inc
• Queens Community House, Inc.
• Queens Hematology Oncology PC
• Queens Medical Imaging, PC
• Queens Medical Imaging, PC
• Queens Medical of New York LLC
• Queens Medical Pavilion,LLC (Ny Med)

• Family Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.