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PREMIER FAMILY MEDICINE PC
NPI 1225228778
Family Medicine in Elmhurst, NY

Active since July 31, 2007CLIA 33D1053799 · Waiver
86-35 QUEENS BLVD, 1-E, ELMHURST, NY 11373(718) 205-4544(718) 205-5594 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Family Medicine Pc NPPES

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

PREMIER FAMILY MEDICINE PC (NPI 1225228778) is a healthcare organization registered as a family medicine in Elmhurst, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Yong R Kim, President, as its authorized official.

NPPES Registry Identity

NPI1225228778
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER FAMILY MEDICINE PC
Location Address86-35 QUEENS BLVD, 1-EElmhurst, NY 11373
Mailing Address86-35 Queens Blvd, 1-eElmhurst, NY 11373 · (718) 205-4544 · Fax (718) 205-5594
Phone(718) 205-4544
Fax(718) 205-5594
Organization SubpartNo
Authorized OfficialYong R KimPresident · (718) 205-4544
Enumeration DateJuly 31, 2007
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1225228778 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 · 209364
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.
86-35 QUEENS BLVD, Elmhurst, NY 11373
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Other Identifiers 2

Other06378NY · Ghi-medicare
Medicare PIN06378NY

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

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 33D1053799

Premier Family Medical PC · Elmhurst, NY
Active · expires May 4, 2028
CLIA Number33D1053799
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorYong R. Kim
Laboratory Phone(718) 205-4544
Laboratory LocationPremier Family Medical PC86-35 Queens Boulevard, Suite 1E, Elmhurst, NY 11373
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. JAMES GUADINO
Radiologic Technologist (Cardiovascular-Interventional Technology)
86-35 QUEENS BLVD, SUITE 2LM
ELMHURST, NY 11373
Queens County (516) 413-2037
RESPONSIVE HEALTHCARE SOLUTIONS INC
Clinic/Center (Radiology, Mobile)
86-35 QUEENS BLVD, SUITE 2LM
ELMHURST, NY 11373
Queens County (516) 413-2037
MIRNA B BESHAY
Acupuncturist
86-35 QUEENS BLVD, SUITE 1B
ELMHURST, NY 11373
Queens County (718) 533-8588

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 Premier Family Medicine PC's NPI number?

The NPI number for Premier Family Medicine PC is 1225228778. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Premier Family Medicine PC located?

Premier Family Medicine PC is located at 86-35 Queens Blvd 1-E, Elmhurst, NY 11373. The listed phone number is (718) 205-4544.

What is Premier Family Medicine PC's specialty?

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

Does Premier Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1053799) is associated with this NPI, valid through May 4, 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 Premier Family Medicine PC was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.