Organization Active NPI

Doctor Gerova Medical PLLC

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1386946010
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
091823 Issued in NY
Legal business name
DOCTOR GEROVA MEDICAL PLLC
Practice address
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone
(718) 806-1386
Fax
(718) 806-1435
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Dr. Ludmila Gerova, M.D.
Title
President
Phone
(718) 806-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 091823 NY Primary

Addresses

Primary practice location

10201 66TH Rd
Forest Hills, NY 11375-2029

Mailing address

PO Box 740699
Rego Park, NY 11374-0699
Phone (718) 806-1386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1386946010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740699",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113740699",
            "telephone_number": "718-806-1386",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 66TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752029",
            "telephone_number": "718-806-1386",
            "fax_number": "718-806-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR GEROVA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "GEROVA",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "091823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.