GLEN OAK MEDICAL CARE PLLC (NPI# 1316311608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316311608 |
| Entity Type | Organization |
| Organization Name | GLEN OAK MEDICAL CARE PLLC |
| Practice Address |
262-05 Hillside Ave Glen Oaks NY 11004 |
| Mailing Address |
26205 Hillside Ave Glen Oaks NY 11004-1756 |
| Practice Telephone | 7183436100 |
| Practice Fax Number | 5168337470 |
| Mailing Telephone | 7183436100 |
| Mailing Fax Number | 5168337470 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | DR. SAIRA K SHAHAB (OWNER) |
| Authorized Official Telephone | 5162704742 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 230853-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2743593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901298 | Glen Oak Medical Care Pllc | Internal Medicine | 26205 Hillside Ave, Floral Park, NY 11004-1756 | 2014-07-29 |
| Street Address |
262-05 HILLSIDE AVE |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| 1730522756 | Fatima Masumova | Student in an Organized Health Care Education/Training Program | 75-59 263rd Street @ 74th Avenue, Glen Oaks, NY 11004 | 2013-04-09 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060550 | Nada Ahmed | Internal Medicine | 8240 262nd St, Glen Oaks, NY 11004-1513 | 2015-04-08 |
| 1689078644 | Qaiser Abbas Medical PC | Internal Medicine | 26310 Hillside Ave, Glen Oaks, NY 11004-1736 | 2014-10-20 |
| 1184912578 | Sreekala Raghavan | Internal Medicine | 25611 Union Tpke, Glen Oaks, NY 11004-1251 | 2011-07-19 |
| 1083917835 | Cosmin Dascalu | Internal Medicine | 7414 260th St, Second Floor, Glen Oaks, NY 11004-1123 | 2010-12-17 |
| 1780905646 | Wazhma Hossaini | Internal Medicine | 7611 263rd St, Glen Oaks, NY 11004-1142 | 2010-06-15 |
| 1740430529 | Sari H Jacoby | Internal Medicine | 7526 263rd St, Glen Oaks, NY 11004-1146 | 2008-09-29 |
| 1518140003 | Glen Oaks Medical Associate PC | Internal Medicine | 25710 Union Tpke, Glen Oaks, NY 11004-1252 | 2007-12-07 |
| 1669678454 | Olga Kouruklis | Internal Medicine | 26004 80th Ave, Glen Oaks, NY 11004-1502 | 2007-06-27 |
| 1912063819 | Eldad S Benmen | Internal Medicine | 260 21 Union Tpke, Glen Oaks, NY 11004 | 2006-12-28 |
| 1053821215 | Amandeep Singh | Internal Medicine | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2017-10-02 |
| Find all providers in GLEN OAKS | ||||
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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.