Organization Active NPI

Queens Internal Medicine & Geriatric PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
National Provider Identifier
1598826984
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
234761 Issued in NY
Legal business name
QUEENS INTERNAL MEDICINE & GERIATRIC PC
Practice address
13847 Horace Harding Expy
Flushing, NY 11367-1131
Phone
(718) 321-7829
NPI assigned
Dec 12, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Muhammad Ramzan, M.D.NPI 1750349254
Title
Owner
Phone
(718) 321-7829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 234761 NY Primary

Addresses

Primary practice location

13847 Horace Harding Expy
Flushing, NY 11367-1131

Mailing address

90 Truxton Rd
Dix Hills, NY 11746-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070119000025 NY Part B Supplier - Clinic/Group Practice 1456352327 Receives reassigned benefits from 5 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4405 Parsons Blvd
Flushing, NY 11355
Phone (718) 321-7829

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1598826984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TRUXTON RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 HORACE HARDING EXPY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671131",
            "telephone_number": "718-321-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS INTERNAL MEDICINE & GERIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "RAMZAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-7829",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "234761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.