ELMONT MEDICAL PC NPI 1841391695

NPI Information

NPI: 1841391695
Provider Name: ELMONT MEDICAL PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 33D1012656
Address: 135 ROCKMART AVE
ELMONT, NY
ZIP 11003
Phone: (516) 354-5600

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NPI Details

ELMONT MEDICAL PC is a primary care clinic center in Elmont, NY. ELMONT MEDICAL PC NPI is 1841391695. The provider is registered as an organization entity type.

The provider's business location address is:

135 ROCKMART AVE
ELMONT, NY
ZIP 11003-731
Phone: (516) 354-5600
Fax: (516) 354-1480

The provider's authorized official is Akwasi Afriyi Achampong .
The authorized official title is Physician and has the following contact phone number (516) 354-5600.

The CLIA number assigned to this NPI record is 33D1012656 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 5/9/2008.

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
1	261QP2300X	Clinic/Center	Primary Care	216449	NEW YORK	Yes

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
1	WPPD01	MEDICARE PIN	NEW YORK
2	05952	MEDICARE PIN	NEW 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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