Active NPI
Internal Medicine & Geriatrics PLLC
- Geriatric Medicine (Internal Medicine) Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 215063
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Pinhas, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD4991 | Other | NY | RAILROAD MEDICARE |
| 02085798 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1033506852
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-
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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.