Organization Active NPI

Internal Medicine & Geriatrics PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, NY
National Provider Identifier
1053581801
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
215063 Issued in NY
Legal business name
INTERNAL MEDICINE & GERIATRICS PLLC
Practice address
9412 59TH Ave Unit E5
Elmhurst, NY 11373-5151
Phone
(718) 997-7117
Fax
(718) 997-8118
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Stella Pinhas, MDNPI 1255444105
Title
Physician
Phone
(718) 997-7117

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
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 215063 NY Primary

Addresses

Primary practice location

9412 59TH Ave Unit E5
Elmhurst, NY 11373-5151

Mailing address

10830 66TH Ave
Forest Hills, NY 11375-2242
Phone (718) 997-7117

Other identifiers 2

IdentifierTypeStateIssuer
DD4991OtherNYRAILROAD MEDICARE
02085798MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000183 NY Part B Supplier - Clinic/Group Practice 8022075241 Receives reassigned benefits from 2 practitioners
Practice locations: Elmhurst, NY; Flushing, NY; Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

9412 59th Ave
Elmhurst, NY 11373
Phone (718) 592-0707

9412 59th Ave
Unit E5
Elmhurst, NY 11373

6612 102nd St
Apt 1E
Rego Park, NY 11374
Phone (718) 440-1182

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1053581801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 66TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752242",
            "telephone_number": "718-997-7117",
            "fax_number": "718-997-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 59TH AVE UNIT E5",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-997-7117",
            "fax_number": "718-997-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & GERIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "PINHAS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-997-7117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "215063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4991",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02085798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.