Organization Active NPI

Saira Medical Care PLLC

  • Internal Medicine Physician
  • Queens Village, NY
National Provider Identifier
1780015164
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAIRA MEDICAL CARE PLLC
Practice address
21302 Hillside Ave
Queens Village, NY 11427-1814
Phone
(718) 308-1158
NPI assigned
Dec 10, 2013
Last updated
Dec 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Saira Qureshi, MDNPI 1215022595
Title
MD / Physician
Phone
(718) 308-1158

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

21302 Hillside Ave
Queens Village, NY 11427-1814

Mailing address

549 N 12TH St
New Hyde Park, NY 11040-4266
Phone (718) 308-1158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140210000383 NY Part B Supplier - Clinic/Group Practice 7517196744 Receives reassigned benefits from 1 practitioner
Practice locations: Queens Village, NY

National Provider Directory

National Provider Directory

Locations

21302 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 217-5795

Practitioners & affiliated clinicians

Practitioners 7

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": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1780015164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N 12TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404266",
            "telephone_number": "718-308-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21302 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271814",
            "telephone_number": "718-308-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIRA MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "MD / PHYSICIAN",
        "authorized_official_telephone_number": "718-308-1158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.