New York Queens Medicine and Surgery PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

NEW YORK QUEENS MEDICINE AND SURGERY PC

Doing business as

Fresh Meadows Diabetes & Endocrinology Care

Practice address

17415 Horace Harding Expy
Fresh Meadows, NY 11365-1527

Phone

(718) 762-3111

NPI assigned

Jul 1, 2015

Last updated

Oct 4, 2023By 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

Dr. Stephen Rimar, MD

Title

Shareholder/Director/Officer

Phone

(718) 661-8711

Specialties & licenses 1

Addresses

Other names 1

• Fresh Meadows Diabetes & Endocrinology Care Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1639552268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "267-979-8095",
            "fax_number": "646-697-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17415 HORACE HARDING EXPY",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651527",
            "telephone_number": "718-762-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK QUEENS MEDICINE AND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "RIMAR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SHAREHOLDER/DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "718-661-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "New York Queens Medicine and Surgery, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2649 Strang Blvd Ste 304",
            "city": "Yorktown Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105982938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresh Meadows Diabetes & Endocrinology Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresh Meadows Diabetes & Endocrinology Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.