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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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodside Medical Practice, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Woodside Medical Practice, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Rafael Rodriguez, MD
Internal Medicine
NPI 1144298175
9001A ROOSEVELT AVE 2ND FLOOR
Jackson Heights, NY 11372
(718) 505-0030
✔ PECOS1.2 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 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.

Is Woodside Medical Practice, P.C. enrolled in Medicare?

Yes. Woodside Medical Practice, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Woodside Medical Practice, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Woodside Medical Practice, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.