Long Island Queens Medical, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

189767 Issued in NY

Legal business name

LONG ISLAND QUEENS MEDICAL, PLLC

Practice address

15817 97TH St
Howard Beach, NY 11414-3228

Phone

(718) 845-5252

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Minal Shah

Title

Medical Director

Phone

(516) 477-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1902203904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15817 97TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143228",
            "telephone_number": "718-845-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND QUEENS MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-477-0008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Howard Lipsky, D.D.S.
• Norma Livreri, MSED
• Michael V Locascio, RPH
• Rhonda Lynn Lokireddy, NP-C
• Susan Ann Lombardo, R.N.
• Aura C Lopez
• Andrea Michele Losito, LCAT
• Regine E Lubin-Aubourg, RDN, CDN
• Naomi Ruth Lutchman, CF-SLP
• Dominick Magnotta, PTA

• Internal Medicine Physician in Howard Beach, NY
• Providers in Howard Beach, 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 Nov 19, 2014; 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.