MEDEA MEDICAL PC NPI 1932699709

NPI Information

  • NPI: 1932699709
  • Provider Name: MEDEA MEDICAL PC
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 6829 SPRINGFIELD BLVD
    OAKLAND GDNS, NY
    ZIP 11364
  • Phone: (718) 225-3001

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NPI Details

MEDEA MEDICAL PC is an adolescent medicine family medicine in Oakland Gdns, NY. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. MEDEA MEDICAL PC NPI is 1932699709. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6829 SPRINGFIELD BLVD
OAKLAND GDNS, NY
ZIP 11364-632
Phone: (718) 225-3001
Fax: (718) 225-3002

The provider's authorized official is Omari Chubinidze .
The authorized official title is Medical Director and has the following contact phone number (718) 225-3001.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 5/16/2018.

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
1207QA0000XFamily MedicineAdolescent Medicine285269NEW 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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