Organization Active NPI

Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Oakland Gardens, NY
National Provider Identifier
1306278791
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217735
Legal business name
INTERNAL MEDICINE ASSOCIATES, PC
Practice address
21422 73Rd Ave
Oakland Gardens, NY 11364-2914
Phone
(631) 361-2960
Fax
(631) 361-2966
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Rajesh Raina, MD
Title
Owner
Phone
(631) 361-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 217735 Primary

Addresses

Primary practice location

21422 73Rd Ave
Oakland Gardens, NY 11364-2914

Mailing address

21422 73Rd Ave
Oakland Gardens, NY 11364-2914
Phone (718) 464-4444

National Provider Directory

National Provider Directory

Locations

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1306278791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21422 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642914",
            "telephone_number": "718-464-4444",
            "fax_number": "718-347-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21422 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642914",
            "telephone_number": "631-361-2960",
            "fax_number": "631-361-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "RAINA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-361-2960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "217735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.