NPIMap

Organization Active NPI

Citimed Complete Medical Care PC

  • Clinic/Center
  • Rego Park, NY
National Provider Identifier
1316543085
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CITIMED COMPLETE MEDICAL CARE PC
Practice address
6555 Woodhaven Blvd FL 2
Rego Park, NY 11374-5048
Phone
(718) 255-6515
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Regina Moshe, MD
Title
Medical Director
Phone
(718) 509-9424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6555 Woodhaven Blvd FL 2
Rego Park, NY 11374-5048

Mailing address

6336 99TH St FL 1
Rego Park, NY 11374-1979
Phone (718) 509-9424

Other practice location 1

78A N Boundary Rd
Jamaica, NY 11430-1820
Phone (718) 656-1245

Other practice location 2

14 Mamaroneck Ave Fl 2
White Plains, NY 10601-3367
Phone (914) 949-5555

Other practice location 3

910 E Gun Hill Rd Fl 1
Bronx, NY 10469-3708
Phone (718) 882-8500

Other practice location 4

1963 Grand Concourse Fl 2
Bronx, NY 10453-4995
Phone (718) 466-4600

National Provider Directory

National Provider Directory

Locations

910 E Gun Hill Rd
#1
Bronx, NY 10469
Phone (718) 882-8500

78A N Boundary Rd
Jamaica, NY 11430
Phone (718) 656-1245

6555 Woodhaven Blvd
Fl 2
Rego Park, NY 11374
Phone (718) 255-6515

14 Mamaroneck Ave
Fl 2
White Plains, NY 10601
Phone (914) 949-5555

Practitioners & affiliated clinicians

Practitioners 10

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1316543085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 99TH ST FL 1",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741979",
            "telephone_number": "718-509-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WOODHAVEN BLVD FL 2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745048",
            "telephone_number": "718-255-6515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78A N Boundary Rd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114301820",
            "country_code": "US",
            "telephone_number": "718-656-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Mamaroneck Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106013367",
            "country_code": "US",
            "telephone_number": "914-949-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Gun Hill Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104693708",
            "country_code": "US",
            "telephone_number": "718-882-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1963 Grand Concourse Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534995",
            "country_code": "US",
            "telephone_number": "718-466-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITIMED COMPLETE MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-509-9424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 8, 2020; 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.