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43RD ST FAMILY PRACTICE PLLC
NPI 1194830265
Family Medicine in Sunnyside, NY

Active since August 20, 2006CLIA 33D1024878 · Waiver
4543 43RD ST, SUNNYSIDE, NY 11104(718) 392-2220 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 43rd St Family Practice Pllc NPPES

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

43RD ST FAMILY PRACTICE PLLC (NPI 1194830265) is a healthcare organization registered as a family medicine in Sunnyside, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Durga Maddineni, Md, as its authorized official.

NPPES Registry Identity

NPI1194830265
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name43RD ST FAMILY PRACTICE PLLC
Location Address4543 43RD STSunnyside, NY 11104-2609
Mailing Address4543 43rd StSunnyside, NY 11104-2609 · (718) 392-2220
Phone(718) 392-2220
Organization SubpartNo
Authorized OfficialDurga MaddineniMd · (718) 392-2220
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 31, 2016
✔ NPI 1194830265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 227095
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4543 43RD ST, Sunnyside, NY 11104
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Other Identifiers 2

Medicaid02462119NY
Medicare PIN07827NY

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 of Waiver 33D1024878

43rd Street Family Practice PLLC · Sunnyside, NY
Active · expires Apr 22, 2028
CLIA Number33D1024878
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorDurga M. Maddineni
Laboratory Phone(718) 392-2220
Laboratory Location43rd Street Family Practice PLLC45-43 43rd Street, Sunnyside, NY 11104
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LOREDANA LADOGANA MD
Family Medicine
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220
DR. PRAJOY KADKADE M.D.
Otolaryngology
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (516) 472-0088
DURGA MADDINENI MD
Family Medicine
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220
DR. AZMAT IQBAL MD
Internal Medicine (Hematology & Oncology)
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220

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 43rd St Family Practice PLLC's NPI number?

The NPI number for 43rd St Family Practice PLLC is 1194830265. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is 43rd St Family Practice PLLC located?

43rd St Family Practice PLLC is located at 4543 43rd St, Sunnyside, NY 11104. The listed phone number is (718) 392-2220.

What is 43rd St Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does 43rd St Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1024878) is associated with this NPI, valid through April 22, 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 43rd St Family Practice PLLC was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.