Queens Long Island Medical Group, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QUEENS LONG ISLAND MEDICAL GROUP, P.C.

Practice address

441 9TH Ave
9TH Floor
New York, NY 10001-1623

Phone

(646) 680-2894

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Marlena Simpson

Title

Avp, Credentialing

Phone

(646) 680-2894

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 1

• AdvantageCare Physicians Doing business as

Locations

Practitioners 201

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

• Andrew E Gewirtz, MD

  • Ophthalmology Physician
  • New York, NY
  • NPI 1982601191

  Ophthalmology

  NPD
• Robert B Grossman, MD

  • Pulmonary Disease Physician
  • Woodbury, NY
  • NPI 1922054709

  Pulmonary Disease

  NPD
• Maharukh R Patell, MD

  • Ophthalmology Physician
  • North Babylon, NY
  • NPI 1023063617

  Ophthalmology

  NPD
• George Surla, MD

  • Gastroenterology Physician
  • Astoria, NY
  • NPI 1932121456
  NPD
• Babu C Thallur, MD

  • Internal Medicine Physician
  • North Babylon, NY
  • NPI 1225064389

  Internal Medicine

  NPD
• Bernard B Abramovici, MD

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1508809740

  Internal Medicine

  NPD (past)
• Afaf Elkomos Soliman Akhnoukh, MD

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1245293935

  Internal Medicine

  NPD (past)
• Gary David Alevy, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1346292877
  NPD (past)
• Satish Anand, MD

  • Internal Medicine Physician
  • North Babylon, NY
  • NPI 1407897754

  Internal Medicine

  NPD (past)
• Charlene A. Andrews, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1982647129

  Family Medicine

  NPD (past)
• Heather A. Angelillo, RD,CDN

  • Registered Dietitian
  • Flushing, NY
  • NPI 1205029956
  NPD (past)
• Nicole Anziani, MS, RD

  • Registered Dietitian
  • New York, NY
  • NPI 1114187689
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1891732038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 9TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011623",
            "telephone_number": "646-680-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS LONG ISLAND MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "AVP, CREDENTIALING",
        "authorized_official_telephone_number": "646-680-2894"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvantageCare Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Munther M Queisi, MD
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• Sophie Queler, MD

• All providers in New York, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.