MEDPRO
NPI 1124781398
Clinic/Center - Primary Care in Woodside, NY

Q: What is Medical Professional Healthcare Woodside P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 14, 2021CLIA 33D2248035 · Waiver

6527 ROOSEVELT AVE # 1A, WOODSIDE, NY 11377(718) 550-2273(718) 550-2274 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2024, Feb 6, 2024, Oct 14, 2021 (3 updates tracked since 2021).

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About Medpro NPPES

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

MEDPRO (NPI 1124781398) is a healthcare organization registered as a primary care in Woodside, New York and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Shahida Khan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124781398

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMEDICAL PROFESSIONAL HEALTHCARE WOODSIDE P.C.

Location Address6527 ROOSEVELT AVE # 1AWoodside, NY 11377-2927

Mailing Address6527 Roosevelt Ave # 1aWoodside, NY 11377-2927 · (718) 550-2273 · Fax (718) 550-2274

Phone(718) 550-2273

Fax(718) 550-2274

Organization SubpartNo

Authorized OfficialShahida KhanCeo · (718) 550-2273

Enumeration DateOctober 14, 2021

Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration

NPPES CertifiedOctober 25, 2024

✔ NPI 1124781398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

6527 ROOSEVELT AVE # 1A, Woodside, NY 11377

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Other Names 1

Doing Business AsMedpro

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 33D2248035

Medical Professional Healthcare Woodside PC · Woodside, NY

Active · expires Jan 10, 2028

CLIA Number33D2248035

Laboratory TypePhysician Office

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorDr. Shahida A. Khan

Laboratory Phone(718) 550-2273

Laboratory LocationMedical Professional Healthcare Woodside PC65-27 Roosevelt Avenue #1a, Woodside, NY 11377

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SHAHIDA KHAN M.D.

Internal Medicine

6527 ROOSEVELT AVE # 1A
WOODSIDE, NY 11377

Queens County (718) 550-2273

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 Medical Professional Healthcare Woodside P.C.'s NPI number?

The NPI number for Medical Professional Healthcare Woodside P.C. is 1124781398. It was assigned to this organization in the NPPES registry on October 14, 2021. The provider is doing business as Medpro.

Where is Medical Professional Healthcare Woodside P.C. located?

Medical Professional Healthcare Woodside P.C. is located at 6527 Roosevelt Ave # 1A, Woodside, NY 11377. The listed phone number is (718) 550-2273.

What is Medical Professional Healthcare Woodside P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Medical Professional Healthcare Woodside P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2248035) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Professional Healthcare Woodside P.C. was last updated on October 25, 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.