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CEDARHURST MEDICAL ASSOCIATES P.C.
NPI 1053532234
Internal Medicine in Far Rockaway, NY

Active since May 02, 2007CLIA 33D0877010 · Waiver
407 BEACH 20TH STREET, FAR ROCKAWAY, NY 11691(718) 471-7010(718) 337-1548 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedarhurst Medical Associates P.c. NPPES

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

CEDARHURST MEDICAL ASSOCIATES P.C. (NPI 1053532234) is a healthcare organization registered as an internal medicine in Far Rockaway, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Dmitriy Elkin, President, as its authorized official.

NPPES Registry Identity

NPI1053532234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCEDARHURST MEDICAL ASSOCIATES P.C.
Location Address407 BEACH 20TH STREETFar Rockaway, NY 11691
Mailing Address407 Beach 20th StreetFar Rockaway, NY 11691 · (718) 471-7010 · Fax (718) 337-1548
Phone(718) 471-7010
Fax(718) 337-1548
Organization SubpartNo
Authorized OfficialDmitriy ElkinPresident · (718) 471-7010
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1053532234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 079794-1
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.
407 BEACH 20TH STREET, Far Rockaway, NY 11691
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Other Identifiers 4

Other0009388NY · Ghi
Other000451701NY · Us Healthcare
OtherCEOW024010NY · Blue Choice
Medicaid00791846NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0877010

Cedarhurst Medical Assoc · Far Rockaway, NY
Active · expires Dec 17, 2026
CLIA Number33D0877010
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDaniel T. Beer
Laboratory Phone(718) 471-7010
Laboratory LocationCedarhurst Medical Assoc407 Beach 20th Street, Far Rockaway, NY 11691
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cedarhurst Medical Associates P.C.'s NPI number?

The NPI number for Cedarhurst Medical Associates P.C. is 1053532234. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Cedarhurst Medical Associates P.C. located?

Cedarhurst Medical Associates P.C. is located at 407 Beach 20th Street, Far Rockaway, NY 11691. The listed phone number is (718) 471-7010.

What is Cedarhurst Medical Associates P.C.'s specialty?

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

Does Cedarhurst Medical Associates P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0877010) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedarhurst Medical Associates P.C. was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.