Queens Medical Office, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

187566 Issued in NY

Legal business name

QUEENS MEDICAL OFFICE, P.C.

Practice address

4046 74TH St
Elmhurst, NY 11373-5602

Phone

(718) 458-1515

Fax

(718) 458-0397

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Alberto Rozo, D.O.NPI 1295796464

Title

Owner

Phone

(718) 458-1515

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 30

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

• Alberto Rozo, D.O.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1295796464
  Medicare reassignment Care Compare group Authorized official
• Juan Carlos Dominguez, FNP

  • Family Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1225887524
  Medicare reassignment Care Compare group NPD
• Nicole Rozo, MD

  • Family Medicine Physician
  • Jackson Heights, NY
  • NPI 1245976893
  Medicare reassignment Care Compare group NPD
• Khurram Surani, MD

  • Family Medicine Physician
  • Woodhaven, NY
  • NPI 1922627447
  Medicare reassignment Care Compare group NPD
• Alfredo Castillo, MD

  • Family Medicine Physician
  • Jackson Heights, NY
  • NPI 1558357970
  Medicare reassignment Care Compare group
• Marian David, MD

  • Cardiovascular Disease Physician
  • Kew Gardens, NY
  • NPI 1619073046
  Medicare reassignment Care Compare group
• Tiffany Guerrero, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1457850893
  Medicare reassignment Care Compare group
• Laura Patricia Kabbabe, FNP

  • Family Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1376134478
  Medicare reassignment Care Compare group
• Freya Raffaella Marone, M.D.

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1649386145
  Medicare reassignment Care Compare group
• Elizabeth Andrade, FNP-BC

  • Family Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1316748700
  Medicare reassignment NPD
• Meenu Gupta, M.D.

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
  • NPI 1184664179
  Medicare reassignment NPD
• Mireyli Navas, AGNP

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1821885799
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1922017789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735602",
            "telephone_number": "718-458-1515",
            "fax_number": "718-458-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735602",
            "telephone_number": "718-458-1515",
            "fax_number": "718-458-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "ROZO",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-458-1515",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209191",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177471",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "149657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "261999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187566",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162464",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "167446",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "187566",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008399",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qlimg Elmhurst Ped & Multi-Spec Office
• QRC Physical Therapy PC
• Queens Center Adult Day Care LLC
• Queens Center Chiropractic PC
• Queens Dental Associates PC
• Queens Pediatric Cardiology, PC
• Queens Physical Medicine & Rehab, PC
• Queens Rehabilitation Center
• Queens Spine Chiropractic PC
• Queens Vision Center Inc

• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, 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 Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.