Active NPI
Medical Associates, P.C.
- Infectious Disease Physician
- Elmhurst, NY
National Provider Identifier
1659539781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 201321
- Legal business name
- MEDICAL ASSOCIATES, P.C.
- Practice address
- 8708 Justice Ave
Suite CS
Elmhurst, NY 11373-4575 - Phone
- (718) 779-9599
- Fax
- (718) 779-9579
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie E Dy-Guillaume, MD
- Title
- President
- Phone
- (718) 779-9599
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 210261 | NY | |
| Infectious Disease Physician | 207RI0200X | 201321 | NY | Primary |
Addresses
Primary practice location
8708 Justice Ave
Suite CS
Elmhurst, NY 11373-4575
Mailing address
8708 Justice Ave
Suite CS
Elmhurst, NY 11373-4575
Phone (718) 779-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03028379 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8708 Justice Ave
Ste Cs
Elmhurst, NY 11373
Phone (718) 779-9599
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Elmhurst, NY
- NPI 1538123922
-
- Gastroenterology Physician
- Bronx, NY
- NPI 1528098118
-
- Nurse Practitioner
- Elmhurst, NY
- NPI 1740779206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225756800000",
"number": "1659539781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 JUSTICE AVE",
"address_2": "SUITE CS",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734575",
"telephone_number": "718-779-9599",
"fax_number": "718-779-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8708 JUSTICE AVE",
"address_2": "SUITE CS",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734575",
"telephone_number": "718-779-9599",
"fax_number": "718-779-9579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-11-04",
"status": "A",
"authorized_official_last_name": "DY-GUILLAUME",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-779-9599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "210261",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "201321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03028379",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.