Organization Active NPI

Jitendra N Tolia MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Jackson Heights, NY
National Provider Identifier
1700956208
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
174996 Issued in NY
Legal business name
JITENDRA N TOLIA MD PC
Practice address
31 47 77TH Street
Jackson Heights, NY 11370-1824
Phone
(718) 429-4444
Fax
(718) 639-5353
NPI assigned
Nov 9, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jitendra N Tolia, MDNPI 1407974199
Title
President Owner
Phone
(718) 429-4444

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 174996 NY
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 174996 NY Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 174996 NY

Addresses

Primary practice location

31 47 77TH Street
Jackson Heights, NY 11370-1824

Mailing address

31 47 77TH Street
Jackson Heights, NY 11370-1824
Phone (718) 429-4444

Other identifiers 1

IdentifierTypeStateIssuer
01182374MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000169 NY Part B Supplier - Clinic/Group Practice 3870633662 Receives reassigned benefits from 1 practitioner
Practice locations: East Elmhurst, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

3147 77th St
Flushing, NY 11370
Phone (718) 429-4444

Practitioners & affiliated clinicians

Practitioners 1

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700956208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 47 77TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113701824",
            "telephone_number": "718-429-4444",
            "fax_number": "718-639-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 47 77TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113701824",
            "telephone_number": "718-429-4444",
            "fax_number": "718-639-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA N TOLIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TOLIA",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "718-429-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174996",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "174996",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "174996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.