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NORTH SHORE MEDICAL PLLC
NPI 1083966170
Internal Medicine in Rego Park, NY

Active since October 12, 2012
9308 QUEENS BLVD # 1B1C, REGO PARK, NY 11374(718) 806-1434(718) 806-1435 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Shore Medical Pllc NPPES

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

NORTH SHORE MEDICAL PLLC (NPI 1083966170) is a healthcare organization registered as an internal medicine in Rego Park, New York and active in the NPI registry since October 2012. The organization lists Marvin Base, Director, as its authorized official.

NPPES Registry Identity

NPI1083966170
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH SHORE MEDICAL PLLC
Location Address9308 QUEENS BLVD # 1B1CRego Park, NY 11374-1135
Mailing Address9308 Queens Blvd # 1b1cRego Park, NY 11374-1135 · (718) 806-1434 · Fax (718) 806-1435
Phone(718) 806-1434
Fax(718) 806-1435
Organization SubpartNo
Authorized OfficialMarvin BaseDirector · (718) 806-1434
Enumeration DateOctober 12, 2012
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1083966170 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 · 187770
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.
9308 QUEENS BLVD # 1B1C, Rego Park, NY 11374
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. MARVIN J BASE M.D.
Internal Medicine
9308 QUEENS BLVD # 1B1C
REGO PARK, NY 11374
Queens County (718) 806-1434
DR. MEGHA A MANIK M.D.
Internal Medicine
9308 QUEENS BLVD # 1B1C
REGO PARK, NY 11374
Queens County (718) 806-1434
ATRIA HEALTH MEDICAL, P.C.
Internal Medicine
9308 QUEENS BLVD # 1B1C
REGO PARK, NY 11374
Queens County (718) 806-1434

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 North Shore Medical PLLC's NPI number?

The NPI number for North Shore Medical PLLC is 1083966170. It was assigned to this organization in the NPPES registry on October 12, 2012.

Where is North Shore Medical PLLC located?

North Shore Medical PLLC is located at 9308 Queens Blvd # 1b1c, Rego Park, NY 11374. The listed phone number is (718) 806-1434.

What is North Shore Medical PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for North Shore Medical PLLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.