Organization Active NPI

Colon and Rectal Surgery of Queens PLLC

  • Colon & Rectal Surgery Physician
  • Rego Park, NY
National Provider Identifier
1164217006
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLON AND RECTAL SURGERY OF QUEENS PLLC
Practice address
6344 Saunders St
Rego Park, NY 11374-2039
Phone
(347) 239-8882
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Arthur Yushuva, MDNPI 1841433760
Title
Managing Member / Physician
Phone
(718) 475-2017

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
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

6344 Saunders St
Rego Park, NY 11374-2039

Mailing address

6344 Saunders St
Rego Park, NY 11374-2039
Phone (718) 475-2017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430002455 NY Part B Supplier - Clinic/Group Practice 9133645302 Receives reassigned benefits from 1 practitioner
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Locations

6344 Saunders St
Rego Park, NY 11374
Phone (347) 239-8882

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFIDD

Practitioners & affiliated clinicians

Practitioners 1

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": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1164217006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742039",
            "telephone_number": "718-475-2017",
            "fax_number": "718-475-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 SAUNDERS ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742039",
            "telephone_number": "347-239-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON AND RECTAL SURGERY OF QUEENS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "YUSHUVA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "MANAGING MEMBER / PHYSICIAN",
        "authorized_official_telephone_number": "718-475-2017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.