Organization Active NPI

Smart Health Medical, P.C.

  • Internal Medicine Physician
  • Queens, NY
National Provider Identifier
1821301375
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246652 Issued in NY
Legal business name
SMART HEALTH MEDICAL, P.C.
Practice address
83-45 Dongan Ave
Queens, NY 11373-3755
Phone
(646) 258-2574
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. VI Quach, MDNPI 1467631036
Title
Director
Phone
(646) 258-2574

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 211187 NY
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 246652 NY Primary

Addresses

Primary practice location

83-45 Dongan Ave
Queens, NY 11373-3755

Mailing address

160 E 84TH St
10L
New York, NY 10028-2008
Phone (646) 258-2574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101223000086 NY Part B Supplier - Clinic/Group Practice 7517155179 Receives reassigned benefits from 2 practitioners
Practice locations: Elmhurst, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2012885Smart Health Medical PC83-45 Dongan Ave, Elmhurst, NY 11373Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Locations

8345 Dongan Ave
Elmhurst, NY 11373
Phone (646) 258-2574

Practitioners & affiliated clinicians

Practitioners 2

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1821301375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 84TH ST",
            "address_2": "10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282008",
            "telephone_number": "646-258-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83-45 DONGAN AVE",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "113733755",
            "telephone_number": "646-258-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART HEALTH MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "VI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-258-2574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211187",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.