Active NPI
Nassau Queens Medical Care PLLC
- Family Medicine Physician
- East Elmhurst, NY
National Provider Identifier
1376010769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Chiropractor
- New York, NY
- NPI 1134594641
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.