Active NPI
East Flushing Medical PLLC
- Internal Medicine Physician
- Glendale, NY
National Provider Identifier
1336990308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- EAST FLUSHING MEDICAL PLLC
- Practice address
- 8713 Myrtle Ave
Glendale, NY 11385-7847 - Phone
- (718) 971-1020
- Fax
- (718) 971-1698
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aleksey Etinger
- Title
- Owner
- Phone
- (718) 971-1020
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nephrology Physician | 207RN0300X | |||
| Orthopaedic Surgery Physician | 207X00000X |
Addresses
Primary practice location
8713 Myrtle Ave
Glendale, NY 11385-7847
Mailing address
8713 Myrtle Ave
Glendale, NY 11385-7847
Phone (718) 971-1020
National Provider Directory
National Provider DirectoryLocations
8713 Myrtle Ave
Glendale, NY 11385
Phone (718) 971-1179
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": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1336990308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8713 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857847",
"telephone_number": "718-971-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8713 MYRTLE AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857847",
"telephone_number": "718-971-1020",
"fax_number": "718-971-1698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST FLUSHING MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "ETINGER",
"authorized_official_first_name": "ALEKSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-971-1020"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.