Organization Active NPI

I & R Medical Services PC

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1063458560
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221146 Issued in NY
Legal business name
I & R MEDICAL SERVICES PC
Practice address
11241 Queens Blvd
Suite LLB
Forest Hills, NY 11375-7475
Phone
(718) 520-7723
Fax
(718) 520-7733
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Roza Israel, MDNPI 1528068368
Title
Partner
Phone
(718) 743-7090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 221146 NY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 214292 NY

Addresses

Primary practice location

11241 Queens Blvd
Suite LLB
Forest Hills, NY 11375-7475

Mailing address

9925 65TH Rd
Rego Park, NY 11374-3654
Phone (718) 473-7090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523001102 NY Part B Supplier - Clinic/Group Practice 9436109931 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

11241 Queens Blvd
Ste Llb
Forest Hills, NY 11375
Phone (718) 261-1759

Practitioners & affiliated clinicians

Practitioners 2

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1063458560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 65TH RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743654",
            "telephone_number": "718-473-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "address_2": "SUITE LLB",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757475",
            "telephone_number": "718-520-7723",
            "fax_number": "718-520-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & R MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-743-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221146",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "214292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.