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WOODSIDE MEDICAL PRACTICE, P.C.
NPI 1114244712
Internal Medicine in Woodside, NY

Active since April 23, 2010
65 06 ROOSEVELT AVENUE, WOODSIDE, NY 11377(718) 374-6222(718) 374-6213 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodside Medical Practice, P.c. NPPES

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

WOODSIDE MEDICAL PRACTICE, P.C. (NPI 1114244712) is a healthcare organization registered as an internal medicine in Woodside, New York and active in the NPI registry since April 2010. The organization lists Rafael N/a Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1114244712
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWOODSIDE MEDICAL PRACTICE, P.C.
Location Address65 06 ROOSEVELT AVENUEWoodside, NY 11377-2928
Mailing Address65 06 Roosevelt AvenueWoodside, NY 11377-2928 · (718) 374-6222 · Fax (718) 374-6213
Phone(718) 374-6222
Fax(718) 374-6213
Organization SubpartNo
Authorized OfficialRafael N/a RodriguezPresident · (718) 505-0030
Enumeration DateApril 23, 2010
✔ NPI 1114244712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
65 06 ROOSEVELT AVENUE, Woodside, NY 11377
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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

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 Woodside Medical Practice, P.C.'s NPI number?

The NPI number for Woodside Medical Practice, P.C. is 1114244712. It was assigned to this organization in the NPPES registry on April 23, 2010.

Where is Woodside Medical Practice, P.C. located?

Woodside Medical Practice, P.C. is located at 65 06 Roosevelt Avenue, Woodside, NY 11377. The listed phone number is (718) 374-6222.

What is Woodside Medical Practice, P.C.'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 Woodside Medical Practice, P.C. was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.