QUEENS MIDLAND MEDICAL PC
NPI 1033452008
Internal Medicine in Jamaica, NY

Active since March 28, 2013
8675 MIDLAND PKWY, JAMAICA, NY 11432(718) 523-2177 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Queens Midland Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENS MIDLAND MEDICAL PC (NPI 1033452008) is a healthcare organization registered as an internal medicine in Jamaica, New York and active in the NPI registry since March 2013. The organization lists Sucheta D Mahajan, Director, as its authorized official.

NPPES Registry Identity

NPI1033452008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUEENS MIDLAND MEDICAL PC
Location Address8675 MIDLAND PKWYJamaica, NY 11432-3058
Mailing Address38 Lake DrNew Hyde Park, NY 11040-1123
Organization SubpartNo
Authorized OfficialSucheta D MahajanDirector · (718) 523-2177
Enumeration DateMarch 28, 2013
Last NPPES UpdateAugust 1, 2013
✔ NPI 1033452008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 60153553 (NY), 60128659 (NY), 60100118 (NY), 60136232 (NY)
8675 MIDLAND PKWY, Jamaica, NY 11432

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queens Midland Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20131209000225Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Queens Midland Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1770584427
8675 MIDLAND PKWY OFFICE #2
Jamaica, NY 11432
(718) 523-2177
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1992794499
89 HAMILTON DRIVE
Roslyn, NY 11576
(516) 248-7212
✔ PECOS✔ Accepts Medicare7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queens Midland Medical PC's NPI number?

The NPI number for Queens Midland Medical PC is 1033452008. It was assigned to this organization in the NPPES registry on March 28, 2013.

Where is Queens Midland Medical PC located?

Queens Midland Medical PC is located at 8675 Midland Pkwy, Jamaica, NY 11432. The listed phone number is (718) 523-2177.

What is Queens Midland Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Queens Midland Medical PC enrolled in Medicare?

Yes. Queens Midland Medical PC is registered in the Medicare PECOS enrollment system.

When is Queens Midland Medical PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Queens Midland Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Queens Midland Medical PC, in Anesthesiology and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Queens Midland Medical PC was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.