MJM Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A245544 Issued in NY

Legal business name

MJM MEDICINE PLLC

Practice address

7025 Yellowstone Blvd
21 J
Forest Hills, NY 11375-3164

Phone

(718) 520-1758

Fax

(718) 520-1758

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Liu, MD

Title

President

Phone

(718) 520-1758

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira J Wagner, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1619909512
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1497988323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750763",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750763",
            "telephone_number": "718-520-1758",
            "fax_number": "718-520-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 YELLOWSTONE BLVD",
            "address_2": "21 J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753164",
            "telephone_number": "718-520-1758",
            "fax_number": "718-520-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-520-1758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "A245544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Rubin DC PC
• Crystal Mitchell
• Sheron D Mitchell
• Emanuel Mizrahi, DDS
• Stella Mizrakhi, LCSW
• MK Ei Services Inc.
• MK Optometrist PC
• MK Vision Center
• MK Vision Center I, Inc
• MK Vision Center LLC

• Internal Medicine Physician in Forest Hills, NY
• Providers in Forest Hills, 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 Aug 16, 2013; 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.