PEDIATRIC HEALTHCARE OF QUEENS PC (NPI# 1003952235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003952235 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HEALTHCARE OF QUEENS PC |
| Practice Address |
27 47 Crescent Street Suite 101 Astoria NY 11102 |
| Mailing Address |
3014 37th St Astoria NY 11103-3809 |
| Practice Telephone | 7182789500 |
| Practice Fax Number | 7182782430 |
| Mailing Telephone | 7182789500 |
| Mailing Fax Number | 7182782430 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | DR. DEMETRIOS MARKOUIZOS (PRESIDENT OWNER) |
| Authorized Official Telephone | 7182789500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
170828 | Allopathic & Osteopathic Physicians | |
| Y | 208000000X | Pediatrics | 170828 | Allopathic & Osteopathic Physicians |
| Street Address |
27 47 CRESCENT STREET SUITE 101 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720511348 | Ashley Kyle Martin | Pediatrics | 2325 31st St Fl 3, Astoria, NY 11105-2299 | 2017-04-10 |
| 1891158234 | Rammiya Nallainathan | Pediatrics | 2325 31st St Ste 302, Astoria, NY 11105-2298 | 2016-04-02 |
| 1811318389 | Shahid Malik | Pediatrics | 30-44 29th Street, #1j, Astoria, NY 11102-2533 | 2013-12-30 |
| 1639332620 | Nikolas Papaevagelou | Pediatrics | 22 47 Crescent Street, Suite101, Astoria, NY 11102 | 2008-07-09 |
| 1821159419 | Costas Frousios | Pediatrics | 29 22 30 Th Ave, Astoria, NY 11102 | 2006-12-13 |
| 1619042652 | Galina Orenshteyn | Pediatrics | 1226 31st Ave, Astoria, NY 11106-4814 | 2006-11-22 |
| 1164515334 | Michael Iordanou | Pediatrics | 3711 23rd Ave, Astoria, NY 11105-1901 | 2006-10-02 |
| 1366461923 | Magdy Ibrahim Mohammed | Pediatrics | 2592 Steinway St, Astoria, NY 11103-3745 | 2006-07-18 |
| 1366471187 | Andrew Steven Rosenblum | Pediatrics | 3030 45th St, Ground Floor, Astoria, NY 11103-1849 | 2006-07-02 |
| 1073567335 | Lilly Rodriguez | Pediatrics | 2922 30th Ave, Astoria, NY 11102-2565 | 2006-05-20 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.