PS MEDICAL CARE OF ELMONT PLLC
NPI 1225559990
Internal Medicine - Rheumatology in Elmont, NY
- Organization
- Internal Medicine
- Rheumatology
- CLIA Number: 33D2163171
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-07-2027
About PS MEDICAL CARE OF ELMONT PLLC
This page provides the complete NPI Profile along with additional information for Ps Medical Care Of Elmont Pllc, an internist established in Elmont, New York operating as a Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1225559990 assigned on July 2017. The practitioner's primary taxonomy code is 207RR0500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ps Medical Care Of Elmont Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Fatima Khan Md (Administrator)
- NPI
- 1225559990 Verify this NPI
- Provider Name
- PS MEDICAL CARE OF ELMONT PLLC
- Entity Type
- Organization
- Location Address
- 20B MEACHAM AVE ELMONT, NY 11003
- Location Phone
- (516) 502-9355
- Location Fax
- (888) 858-2068
- Mailing Address
- 20B MEACHAM AVE ELMONT, NY 11003
- Mailing Phone
- (516) 502-9355
- Mailing Fax
- (888) 858-2068
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-03-2017
- Last Update Date
- 12-02-2024
- Code Navigator
An internist like Ps Medical Care Of Elmont Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 268169 | OTHER (01) | NY | LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2163171
- Facility Type
- Physician Office
- Certificate Effective Date
- March 08, 2025
- Certificate Expiration Date
- March 07, 2027
- Laboratory Director
- DR. SHANMUKHA PRIYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ps Medical Care Of Elmont Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225559990, enumerated as an "organization" on July 03, 2017.
The provider is located at 20B MEACHAM AVE ELMONT, NY 11003 and the phone number is (516) 502-9355.
Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
