BOOTH MEDICAL ASSOCIATES PC NPI 1912996703

NPI Information

  • NPI: 1912996703
  • Provider Name: BOOTH MEDICAL ASSOCIATES PC
  • Classification: Internal Medicine - 207RI0008X
  • Specialization: Hepatology
  • Entity Type: Organization
  • Address: 5645 MAIN ST
    FLUSHING, NY
    ZIP 11355
  • Phone: (718) 670-2236

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NPI Details

BOOTH MEDICAL ASSOCIATES PC is a hepatology internal medicine in Flushing, NY. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. BOOTH MEDICAL ASSOCIATES PC NPI is 1912996703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2236

The provider's authorized official is Terrence Brady .
The authorized official title is Administrator and has the following contact phone number (516) 827-9845.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 9/11/2025.

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
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RC0200XInternal MedicineCritical Care MedicineNo
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
7207RG0100XInternal MedicineGastroenterologyNo
8207RG0300XInternal MedicineGeriatric MedicineNo
9207RH0003XInternal MedicineHematology & OncologyNo
10207RI0200XInternal MedicineInfectious DiseaseNo
11207RN0300XInternal MedicineNephrologyNo
12207RP1001XInternal MedicinePulmonary DiseaseNo
13207RR0500XInternal MedicineRheumatologyNo
142084N0400XPsychiatry & NeurologyNeurologyNo
15207RI0008XInternal MedicineHepatologyYes

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
100923859MEDICAIDNEW YORK
2W9411OTHERNEW YORKBCBS

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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