HILLSIDE POLYMEDIC P.C. - NPI 1083743223 - Internal Medicine in Jamaica, NY

Q: What is Hillside Polymedic P.C.'s NPI number?

The NPI number for Hillside Polymedic P.C. is 1083743223. It was assigned to this organization in the NPPES registry on March 5, 2007.

Q: What is Hillside Polymedic P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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About Hillside Polymedic P.c. NPPES

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

HILLSIDE POLYMEDIC P.C. (NPI 1083743223) is a healthcare organization registered as a gastroenterology in Jamaica, New York and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Chudi Chime, President, as its authorized official.

NPPES Registry Identity

NPI1083743223

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameHILLSIDE POLYMEDIC P.C.

Location Address18730 HILLSIDE AVEJamaica, NY 11432-3216

Mailing Address18730 Hillside AveJamaica, NY 11432-3216 · (718) 264-1111 · Fax (718) 264-9125

Phone(718) 264-1111

Fax(718) 264-9125

Organization SubpartNo

Authorized OfficialChudi ChimePresident · (718) 264-1111

Enumeration DateMarch 5, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1083743223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X

18730 HILLSIDE AVE, Jamaica, NY 11432

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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

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 for Provider-Performed Microscopy Procedures (PPMP) 33D1064684

Hillside Polymedic Diagnostic & Treatment Center · Jamaica, NY

Active · expires Mar 26, 2027

CLIA Number33D1064684

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 12, 2007

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Chudi Chime

Laboratory Phone(718) 264-1111

Laboratory LocationHillside Polymedic Diagnostic & Treatment Center187-30 Hillside Avenue, Jamaica, NY 11432

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARMINA RAMONA NOLASCO RIVERA M.D.

Pediatrics