SLB Medical Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

155418 Issued in NY

Legal business name

SLB MEDICAL ASSOCIATES

Doing business as

Queens Village Medical PC

Practice address

9703 Springfield Blvd
1St Floor
Queens Village, NY 11429-1328

Phone

(718) 465-7200

Fax

(718) 465-0407

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mario Saint-Laurent, M.D.

Title

Vice President

Phone

(718) 507-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Queens Village Medical PC Doing business as

Tax ID family

Queens Village Medical PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SLB Medical Associates

  • Pediatrics Physician
  • Corona, NY
  • NPI 1750519690
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGCDBA

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1518008648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 104TH ST",
            "address_2": "1ST FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681947",
            "telephone_number": "718-507-5656",
            "fax_number": "718-507-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9703 SPRINGFIELD BLVD",
            "address_2": "1ST FLOOR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291328",
            "telephone_number": "718-465-7200",
            "fax_number": "718-465-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLB MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "SAINT-LAURENT",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-507-5656",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "155418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00782949",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Village Medical PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathleen Singh
• Harkarit Singh
• Tarlochan Singh
• Swati Singhal
• Sherine M Slack, RN
• Lisa Marie Cohen Slone, LCSW-R
• SMC Health Supply LLC
• Delores Smith
• Dorret Smith
• Heather E Smith, FNP-BC

• Pediatrics Physician in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.