Meyerovich Medical & Diagnostic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

217870 Issued in NY

Legal business name

MEYEROVICH MEDICAL & DIAGNOSTIC PC

Practice address

9811 Queens Blvd
Suite 1E
Rego Park, NY 11374-3323

Phone

(718) 830-0400

Fax

(718) 830-0005

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Inessa Meyerovich, MDNPI 1619957404

Title

President

Phone

(718) 830-0400

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

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

Practitioners 2

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

• Inessa Meyerovich, M.D.

  • Psychiatry Physician
  • Rego Park, NY
  • NPI 1619957404
  Medicare reassignment Care Compare group Authorized official
• Naum Meyerovich, M.D

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1790750859
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1689886079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743323",
            "telephone_number": "718-830-0400",
            "fax_number": "718-830-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 QUEENS BLVD",
            "address_2": "SUITE 1E",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743323",
            "telephone_number": "718-830-0400",
            "fax_number": "718-830-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYEROVICH MEDICAL & DIAGNOSTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MEYEROVICH",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-830-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217870",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Mergo-Bielecka II
• Lauren K Merkovich, PHARMD
• Lourdes Gricel Merlo, MD
• Metro Point Medical, PC
• Metro Vision Express LLC
• Inessa Meyerovich, M.D.
• Naum Meyerovich, M.D
• Candace Therese Mezetin, MS,OTR/L
• MGL Pharmacy Inc
• MGL Pharmacy Inc.

• Internal Medicine Physician in Rego Park, NY
• Providers in Rego Park, 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 Jan 24, 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.