Organization Active NPI

Queens Town Medical Care PLLC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1801436399
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUEENS TOWN MEDICAL CARE PLLC
Practice address
20707 Hillside Ave Unit 1
Jamaica, NY 11427-1732
Phone
(646) 318-2438
NPI assigned
Jan 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Shahnaz RashidNPI 1174873590
Title
MD
Phone
(646) 318-2438

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

20707 Hillside Ave Unit 1
Jamaica, NY 11427-1732

Mailing address

20707 Hillside Ave Unit 2
Jamaica, NY 11427-1732

National Provider Directory

National Provider Directory

Locations

20707 Hillside Ave
Unit 1
Jamaica, NY 11427
Phone (646) 318-2438

20707 Hillside Ave
Unit 2
Queens Village, NY 11427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1801436399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20707 HILLSIDE AVE UNIT 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114271732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20707 HILLSIDE AVE UNIT 1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114271732",
            "telephone_number": "646-318-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS TOWN MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "SHAHNAZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-318-2438"
    },
    "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 Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.