Easy Care Queens Medical, PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

181742 Issued in NY

Legal business name

EASY CARE QUEENS MEDICAL, PC

Practice address

37 11 88 Street
Jackson Heights, NY 11372

Phone

(718) 446-4544

NPI assigned

Aug 9, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergio A Martinez, MDNPI 1336171040

Title

Doctor

Phone

(516) 292-9430

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Yonkers General Medical Practice,PC

  • Health Service Clinic/Center
  • Yonkers, NY
  • NPI 1629491238

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sergio Martinez

  • Pulmonary Disease Physician
  • Jackson Heights, NY
  • NPI 1336171040
  Medicare reassignment Care Compare group Authorized official
• Richard St Michael Perrin, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1932360088
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1932119898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 SHORE BLVD",
            "address_2": "APT 18K",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111023941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 11 88 STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-446-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY CARE QUEENS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-292-9430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "181742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Schontasha Dyce
• Abraham Dyzenhaus, DDS
• E & J Medical P.C.
• Shiny Easo, N.P.
• Eastern Park Medical Services,P.C.
• Susanna Eckblad, LCSW
• Joanne Econopouly, O.D.
• Carl Eden, R-L.C.S.W.
• Justina Edwards, MSW
• Mauricio Eguez

• Pulmonary Disease Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.