Medical Professional Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

163744 Issued in NY

Legal business name

MEDICAL PROFESSIONAL GROUP

Practice address

3110 37TH Ave Ste 203
Long Island City, NY 11101-2112

Phone

(718) 433-0044

Fax

(718) 433-4644

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Gina Duval

Title

Adminstrator

Phone

(718) 433-0044

Specialties & licenses 2

Addresses

Other names 2

• MEDICAL PROFESSIONAL GROUP Doing business as
• OMNICARE PLUS Doing business as

Part of

Omnicare Plus PC

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1326348608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 37TH AVE STE 202",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012112",
            "telephone_number": "718-433-0044",
            "fax_number": "718-255-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 37TH AVE STE 203",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012112",
            "telephone_number": "718-433-0044",
            "fax_number": "718-433-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DUVAL",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "718-433-0044"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "163744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PROFESSIONAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNICARE PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorcan Hugh McKillop, PA-C
• Sandra McLeish
• Tyqueza McManus, RN
• William McNear, CASAC-T
• Tristan Drey McPherson, M.D.
• Medical Transportation Group LLC
• Richard A Medina
• Mikayla Medine
• Marie Michelle Lormil Medor, D.D.S.
• Fabian Andres Mejia

• Health Service Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.