Organization Active NPI

Queenslongislandmedicalgppc

  • Clinic/Center
  • Garden City, NY
National Provider Identifier
1902963838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
205340 Issued in NY
Legal business name
QUEENSLONGISLANDMEDICALGPPC
Practice address
1000 Zeckendorf Blvd
Garden City, NY 11530
Phone
(718) 956-2200
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sharon Alethea Foster, M.D.,MPH
Title
Staff Physician
Phone
(718) 956-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 205340 NY Primary

Addresses

Primary practice location

1000 Zeckendorf Blvd
Garden City, NY 11530

Mailing address

87-15 165TH St.
6L
Jamaica, NY 11432-3518
Phone (718) 739-3571

National Provider Directory

National Provider Directory
Tax ID family
Qlimg - Rockaway Med Office23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902963838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-15 165TH ST.",
            "address_2": "6L",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323518",
            "telephone_number": "718-739-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "718-956-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSLONGISLANDMEDICALGPPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ALETHEA",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "718-956-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "205340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.