WOODMERE MEDICAL PC NPI 1467721068

NPI Information

  • NPI: 1467721068
  • Provider Name: WOODMERE MEDICAL PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 33D1082963
  • Address: 8600 SHORE FRONT PKWY
    ROCKAWAY BEACH, NY
    ZIP 11693
  • Phone: (718) 745-1901

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NPI Details

WOODMERE MEDICAL PC is an internal medicine in Rockaway Beach, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WOODMERE MEDICAL PC NPI is 1467721068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8600 SHORE FRONT PKWY
ROCKAWAY BEACH, NY
ZIP 11693-828
Phone: (718) 745-1901
Fax: (718) 745-5731

The provider's authorized official is Subodh Kumar Sinha .
The authorized official title is Owner and has the following contact phone number (718) 745-1901.

The CLIA number assigned to this NPI record is 33D1082963 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2011 and was last updated on 12/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine200548NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G17654MEDICARE UPINNEW YORK
201696208MEDICAIDNEW YORK
311S643MEDICARE PINNEW YORK
404697AMEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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