Active NPI
Jitendra N Tolia MD PC
- Geriatric Medicine (Internal Medicine) Physician
- Jackson Heights, NY
National Provider Identifier
1700956208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 174996
- 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, 2025
- 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
- Jitendra N Tolia, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 174996 | NY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 174996 | NY | Primary |
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01182374 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- East Elmhurst, NY
- NPI 1407974199
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.