Organization Active NPI

Advanced Quality Medical PC

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1265793517
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242926 Issued in NY
Legal business name
ADVANCED QUALITY MEDICAL PC
Practice address
8324 Cornish Ave
Elmhurst, NY 11373-3754
Phone
(718) 424-0770
Fax
(718) 424-2590
NPI assigned
Jun 4, 2012
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Karen T Lee, M.D.NPI 1629124045
Title
President
Phone
(718) 424-0770

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
Internal Medicine Physician 207R00000X 242926 NY Primary

Addresses

Primary practice location

8324 Cornish Ave
Elmhurst, NY 11373-3754

Mailing address

8324 Cornish Ave
Elmhurst, NY 11373-3754
Phone (718) 424-0770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120625000103 NY Part B Supplier - Clinic/Group Practice 9739344805 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory
Tax ID family
Advanced Quality Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8608 Elmhurst Ave
Flushing, NY 11373
Phone (718) 204-1469

Practitioners & affiliated clinicians

Practitioners 2

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": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1265793517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 CORNISH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733754",
            "telephone_number": "718-424-0770",
            "fax_number": "718-424-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CORNISH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733754",
            "telephone_number": "718-424-0770",
            "fax_number": "718-424-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED QUALITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-424-0770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242926",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 4, 2012; 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.