NPIMap

Organization Active NPI

St John's Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1023042173
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST JOHN'S MEDICAL SERVICES PC
Practice address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone
(718) 869-7641
Fax
(718) 869-8507
NPI assigned
Jul 11, 2006
Last updated
May 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Mr. Steven Guido, CFO
Title
Chief Financial Officer
Phone
(718) 869-7684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

327 Beach 19TH St
Far Rockaway, NY 11691-4423

Mailing address

PO Box 1388
Far Rockaway, NY 11690-1388
Phone (718) 869-7641

Other practice location 1

521 Beach 20th St
Far Rockaway, NY 11691-3645
Phone (718) 869-8822

Other practice location 2

1920 Brookhaven Ave
Far Rockaway, NY 11691-3626
Phone (718) 347-3627

Other practice location 3

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694-2645
Phone (718) 318-3434

Other practice location 4

275 Rockaway Tpke
Lawrence, NY 11559-1272
Phone (516) 400-9302

Other practice location 5

495 Beach 20th St
Far Rockaway, NY 11691-3621
Phone (347) 619-5950

Other practice location 6

1909 Plainview Ave
Far Rockaway, NY 11691-4489
Phone (718) 869-7690

Other practice location 7

1908 Brookhaven Ave
Far Rockaway, NY 11691-3626
Phone (718) 869-8822

Other identifiers 1

IdentifierTypeStateIssuer
02770565MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000203 NY Part B Supplier - Clinic/Group Practice 1850314865 Receives reassigned benefits from 142 practitioners
Practice locations: Rockaway Park, NY; Lawrence, NY; Far Rockaway, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0881379St John's Medical Services PC10538 Rockaway Beach Blvd Second Floor, Belle Harbor, NY 11694Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1920 Brookhaven Ave
Far Rockaway, NY 11691
Phone (718) 347-3627

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

11410 Beach Channel Dr
Ste 5
Rockaway Park, NY 11694
Phone (718) 474-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 292

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 292

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1023042173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116901388",
            "telephone_number": "718-869-7641",
            "fax_number": "718-869-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "718-869-7641",
            "fax_number": "718-869-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913645",
            "country_code": "US",
            "telephone_number": "718-869-8822",
            "fax_number": "718-869-8829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Brookhaven Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913626",
            "country_code": "US",
            "telephone_number": "718-347-3627",
            "fax_number": "347-246-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10538 Rockaway Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942645",
            "country_code": "US",
            "telephone_number": "718-318-3434",
            "fax_number": "718-318-3723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Rockaway Tpke",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "NY",
            "postal_code": "115591272",
            "country_code": "US",
            "telephone_number": "516-400-9302",
            "fax_number": "516-400-9309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913621",
            "country_code": "US",
            "telephone_number": "347-619-5950",
            "fax_number": "347-619-9053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Plainview Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914489",
            "country_code": "US",
            "telephone_number": "718-869-7690",
            "fax_number": "718-869-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 Brookhaven Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913626",
            "country_code": "US",
            "telephone_number": "718-869-8822",
            "fax_number": "718-869-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST JOHN'S MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-869-7684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02770565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.