QUEENS MEDICAL OFFICE P.C. NPI 1922017789

NPI Information

  • NPI: 1922017789
  • Provider Name: QUEENS MEDICAL OFFICE, P.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 33D0945372
  • Address: 4046 74TH ST
    ELMHURST, NY
    ZIP 11373
  • Phone: (718) 458-1515

Map and Directions

Get Directions

NPI Details

QUEENS MEDICAL OFFICE, P.C. is an internal medicine in Elmhurst, 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. QUEENS MEDICAL OFFICE, P.C. NPI is 1922017789. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4046 74TH ST
ELMHURST, NY
ZIP 11373-602
Phone: (718) 458-1515
Fax: (718) 458-0397

The provider's authorized official is Alberto Rozo .
The authorized official title is Owner and has the following contact phone number (718) 458-1515.

The CLIA number assigned to this NPI record is 33D0945372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/24/2012.

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
1207Q00000XFamily Medicine209191NEW YORKNo
2207Q00000XFamily Medicine177471NEW YORKNo
3207Q00000XFamily Medicine149657NEW YORKNo
4207Q00000XFamily Medicine261999NEW YORKNo
5207R00000XInternal Medicine162464NEW YORKNo
6207R00000XInternal Medicine167446NEW YORKNo
7207RP1001XInternal MedicinePulmonary Disease187566NEW YORKNo
8363AM0700XPhysician AssistantMedical008399NEW YORKNo
9363AM0700XPhysician AssistantMedical013504NEW YORKNo
10207R00000XInternal Medicine187566NEW 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
105870MEDICARE PINNEW YORK
2X95289MEDICARE UPIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI