MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC (NPI# 1467085969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467085969 |
| Entity Type | Organization |
| Organization Name | MEDEX DIAGNOSTIC AND TREATMENT CENTER LLC |
| Practice Address |
11129 Queens Blvd Forest Hills NY 11375-5553 |
| Practice Telephone | 7182758900 |
| Mailing Telephone | 7182758900 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | OLEG ARONOV (MANAGING MEMBER) |
| Authorized Official Telephone | 7182758900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
11129 QUEENS BLVD |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629001102 | Medex Diagnostic & Treatment Center LLC | Clinic/Center | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2006-07-08 |
| 1518403542 | Taryn Nicole Thompson | Occupational Therapy Assistant | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2017-01-14 |
| 1053781591 | Oliver Aragones | Physical Therapist | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2015-09-27 |
| 1922388735 | Marina Osmolovsky | Specialist/Technologist, Other | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2011-08-24 |
| 1497046171 | Alex Arguello | Social Worker | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2011-04-28 |
| 1437266293 | Quality Medical Associates PC | Clinic/Center | 11129 Queens Blvd, Forest Hills, NY 11375-5553 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629368790 | Austin Surgery Professional Gynecological Office Based Surgery | Clinic/Center | 6902 Austin St, Third Floor, Forest Hills, NY 11375-4233 | 2011-04-11 |
| 1386948388 | Summit Endoscopy P.C. | Clinic/Center | 11203 Queens Blvd, Suite 207, Forest Hills, NY 11375-7473 | 2011-01-05 |
| 1619270055 | Obs Associates Inc | Clinic/Center | 11203 Queens Blvd, Suite 207, Forest Hills, NY 11375-7473 | 2010-12-07 |
| 1104151737 | Raveco Women's Office Based Surgery PC | Clinic/Center | 7010 Austin St, Suite 200, Forest Hills, NY 11375-4763 | 2009-10-15 |
| 1568796928 | Forest Hills Medical Services PC | Clinic/Center | 10816 63rd Rd, Forest Hills, NY 11375-1352 | 2009-10-01 |
| 1598098220 | John C. Kaufman Md, PC | Clinic/Center | 104-60 Queens Blvd, Forest Hills, NY 11375 | 2009-09-14 |
| 1699951186 | Forest Hills Surgery Obs PC | Clinic/Center | 11203 Queens Blvd, Suite 205, Forest Hills, NY 11375-5550 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.