Advanced Physicians P C
Organization Active NPI Multi-Specialty Clinic/Center · Forest Hills, NY
NPI 1346563582 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1346563582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANCED PHYSICIANS P C
- Practice address
- 6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787 - Phone
- (718) 360-9550
- NPI assigned
- Mar 2, 2010
- Organization subpart
- No
Authorized official
- Name
- David Shusterman
- Title
- Treasurer
- Phone
- (718) 360-9550
Practitioners 27
-
Yosef Shimon Golowa, M.D.
-
Tamara Guichard, MD
-
Joseph Motta, M.D.
-
Edward Plotzker, MD
-
David Shusterman, M.D.
-
Yulya Timashpolsky, M.D.
-
Sunil Gopal, M.D.
-
Molly McBride, M.D.
-
Julia Raber, M.D.
-
Sarah Reed Weld, WHNP-BC
-
Hina S. Ahmad, M.D.
-
Chong M. Kim, MD
-
Jeffery Raymond Tun, M.D.
-
David Balakhaneh, D.O
-
Rozalia Borohov, PA
-
Marina Borukhow, PA
-
Thomas Eeda Lo, M.D.
-
Jamie Lee Schwartz, PA-C
-
Shane Wilkins, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101019000463 | NY | Part B Supplier - Clinic/Group Practice | 0042403404 |
Receives reassigned benefits from 25 practitioners Practice locations: Forest Hills, NY; New York, NY |
National Provider Directory
Locations
6915 Yellowstone Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 360-9550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787
Mailing address
6915 Yellowstone Blvd Ste 4
Forest Hills, NY 11375-3787
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244228 | Other | NY | LICENSE |
Other providers in Forest Hills, NY
- Advanced Human Services,Inc
- Advanced Human Services,Inc
- Advanced M.R.I., PC-Raytel Medical Imaging-Queens
- Advanced Medical Care PLLC
- Advanced Physician Medicine PLLC
- Advanced Procare Physical Therapy PC
- Advanced Wound Care LLC
- Advent Medical Services PLLC
- Oluwatobi Afere
- Affordable Fertility Medical Care PC
All providers in Forest Hills, NY · Multi-Specialty Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.