Organization Active NPI

Nassau Queens Medical Care PLLC

  • Family Medicine Physician
  • East Elmhurst, NY
National Provider Identifier
1376010769
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NASSAU QUEENS MEDICAL CARE PLLC
Practice address
7535 31St Avenue
Suite 205
East Elmhurst, NY 11370
Phone
(718) 316-6870
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Deborah Eisen, MD
Title
Owner and Executive Director
Phone
(347) 307-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7535 31St Avenue
Suite 205
East Elmhurst, NY 11370

Mailing address

7535 31St Ave Ste 205
East Elmhurst, NY 11370-1846
Phone (718) 316-6870

National Provider Directory

National Provider Directory

Locations

7535 31st Ave
Ste 205
East Elmhurst, NY 11370
Phone (718) 316-6870

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": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1376010769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 31ST AVE STE 205",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701846",
            "telephone_number": "718-316-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 31ST AVENUE",
            "address_2": "SUITE 205",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "718-316-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU QUEENS MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-307-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.