Organization Active NPI

Queens Family Medicine, PLLC

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1750565412
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227362 Issued in NY
Legal business name
QUEENS FAMILY MEDICINE, PLLC
Practice address
6854 Main St
Flushing, NY 11367-1325
Phone
(718) 544-0004
Fax
(718) 544-0008
NPI assigned
Dec 18, 2007
Last updated
Jun 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Adam D. Zeitlin, D.O.NPI 1386745578
Title
President
Phone
(718) 358-0506

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227362 NY Primary

Addresses

Primary practice location

6854 Main St
Flushing, NY 11367-1325

Mailing address

13666 72ND Ave
Flushing, NY 11367-2328
Phone (718) 358-0506

Other identifiers 2

IdentifierTypeStateIssuer
227362OtherNYHIP
5996366OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504000949 NY Part B Supplier - Clinic/Group Practice 6608285614 Receives reassigned benefits from 3 practitioners
Practice locations: Flushing, NY; Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

5834 Main St
Flushing, NY 11355
Phone (718) 358-0506

Practitioners & affiliated clinicians

Practitioners 3

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1750565412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13666 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672328",
            "telephone_number": "718-358-0506",
            "fax_number": "718-445-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6854 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671325",
            "telephone_number": "718-544-0004",
            "fax_number": "718-544-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "ZEITLIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-358-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "227362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5996366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.