Organization Active NPI

Quality Medical Provider PC

  • Family Medicine Physician
  • Floral Park, NY
National Provider Identifier
1023186442
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
212993 Issued in NY
Legal business name
QUALITY MEDICAL PROVIDER PC
Practice address
267-01 Hillside Ave
Floral Park, NY 11004
Phone
(718) 343-7790
Fax
(718) 343-7792
NPI assigned
Dec 1, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Syed S Qadri, M.D., D.O,NPI 1558432260
Title
Owner
Phone
(718) 343-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 212993 NY Primary

Addresses

Primary practice location

267-01 Hillside Ave
Floral Park, NY 11004

Mailing address

191-11 Foothill Ave
Hollis, NY 11423
Phone (718) 343-7790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070816000759 NY Part B Supplier - Clinic/Group Practice 8628160983 Receives reassigned benefits from 7 practitioners
Practice locations: Floral Park, NY; Hicksville, NY; Jackson Heights, NY; Jamaica, NY; South Richmond Hill, 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
33D2148193Quality Medical Provider PC267-01 Hillside Avenue, Floral Park, NY 11004Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1023186442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191-11 FOOTHILL AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-343-7790",
            "fax_number": "718-343-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267-01 HILLSIDE AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-343-7790",
            "fax_number": "718-343-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL PROVIDER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "QADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-343-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.O,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "212993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.