Millennium Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

203635 Issued in NY

Legal business name

MILLENNIUM MEDICAL GROUP PC

Practice address

9320A Roosevelt Ave FL 2
Jackson Heights, NY 11372-7965

Phone

(718) 404-9157

Fax

(718) 424-0414

NPI assigned

Oct 17, 2006

Last updated

Oct 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose A Fulgencio-Delmonte, MDNPI 1134109382

Title

MD

Phone

(718) 404-9157

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose A Fulgencio-Delmonte, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1134109382
  Medicare reassignment Care Compare group NPD Authorized official
• Richard L Francisco, M.D

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1902868227
  Medicare reassignment Care Compare group NPD
• Holson Serge Hector, MD

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1508081126
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1386725695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727965",
            "telephone_number": "718-404-9157",
            "fax_number": "718-424-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320A ROOSEVELT AVE FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727965",
            "telephone_number": "718-404-9157",
            "fax_number": "718-424-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "FULGENCIO-DELMONTE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-404-9157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02407716",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mickaela Marichal DNP Nurse Practitioner in Family Health PLLC
• Darryl Beacher Mickle
• Mark Joseph Mifsud, O.T.R.
• Migdalia Maria Padilla, Ms, PT, P.C.
• Mirela Milanovic, RN
• Brooke Jillian Miller
• Paul Mina, PHARMACIST
• Adelya Minulina, FNP
• Kimberly Mitchell
• Mitu Home Care Services LLC

• Internal Medicine Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.