Queens Wellness Medical Care, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

192697 Issued in NY

Legal business name

QUEENS WELLNESS MEDICAL CARE, P.C.

Practice address

125-07 101 Avenue
Richmond Hill, NY 11419-1411

Phone

(516) 713-7672

Fax

(718) 450-9384

NPI assigned

Aug 4, 2015

Last updated

Aug 7, 2015By 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

Ms. Rita Jhaveri, M.D.NPI 1073554721

Title

Managing Partner

Phone

(516) 713-7672

Specialties & licenses 1

Addresses

Interoperability endpoints

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

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.

• Rita Jhaveri, MD

  • Internal Medicine Physician
  • Richmond Hill, NY
  • NPI 1073554721
  Authorized official Same address or phone

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1710363577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125-07 101 AVENUE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191411",
            "telephone_number": "516-713-7672",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125-07 101 AVENUE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191411",
            "telephone_number": "516-713-7672",
            "fax_number": "718-450-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS WELLNESS MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "JHAVERI",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "516-713-7672",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Richmond Hill, NY
• Providers in Richmond Hill, 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 Aug 7, 2015; 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.