Queens Bronx Medical P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

211067 Issued in NY

Legal business name

QUEENS BRONX MEDICAL P.C

Practice address

4102 31St Ave
Astoria, NY 11103-3420

Phone

(718) 274-6100

Fax

(718) 665-1746

NPI assigned

May 23, 2007

Last updated

Apr 20, 2008By 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

Vijay K Alla, M.D

Title

President

Phone

(718) 274-6100

Specialties & licenses 1

Addresses

Other identifiers 12

Practitioners 2

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.

• Vijayakumar Alla, M.D

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1598748592
  NPD (past)
• Madhu Bala Sarwal, M.D

  • Internal Medicine Physician
  • Viera, FL
  • NPI 1346350899
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790995991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033420",
            "telephone_number": "718-274-6100",
            "fax_number": "718-665-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033420",
            "telephone_number": "718-274-6100",
            "fax_number": "718-665-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS BRONX MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-274-6100",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY GHI MEDICARE",
            "identifier": "06864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000003667",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "AV1067",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914447",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "211067",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1P1158",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "00006049401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE CHOICE",
            "identifier": "06864G",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "211067C19",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2511884",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "VA0184AK10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "171389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeta Qoku
• Emily Bo Yan Quan
• Steven Edward Quatela, M.D. PH.D.
• Quazi M. Rahman MD PC
• Queens Audiology, PLLC
• Queens Cardiovascular Services PLLC
• Queens Community Medical Care, P.C. (The New Parkway Hospital Physicians Group)
• Queens Counseling Services LCSW, PLLC (Queens Counseling Services, PLLC)
• Queens Family Dental
• Queens Family Dental Lic

• Internal Medicine Physician in Astoria, NY
• Providers in Astoria, 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 Apr 20, 2008; 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.