PHOENIX MEDICAL OFFICE PLLC NPI 1770919466

NPI Information

  • NPI: 1770919466
  • Provider Name: PHOENIX MEDICAL OFFICE PLLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 33D2068720
  • Address: 5223 VAN LOON ST
    ELMHURST, NY
    ZIP 11373
  • Phone: (646) 943-1588

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NPI Details

PHOENIX MEDICAL OFFICE PLLC is a geriatric medicine internal medicine in Elmhurst, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PHOENIX MEDICAL OFFICE PLLC NPI is 1770919466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5223 VAN LOON ST
ELMHURST, NY
ZIP 11373-258
Phone: (646) 943-1588

The provider's authorized official is Kyawt Thandar Aung .
The authorized official title is President and has the following contact phone number (646) 943-1588.

The CLIA number assigned to this NPI record is 33D2068720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2013 and was last updated on 9/25/2013.

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
1207RG0300XInternal MedicineGeriatric Medicine241558NEW YORKYes

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: 11/21/2025

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