HEALTHMED DIAGNOSTIC & TREATMENT CENTER
NPI 1295454650
Clinic/Center - Multi-Specialty in Jamaica, NY

Active since August 26, 2022CLIA 33D2232270 · Waiver
19002 JAMAICA AVE, JAMAICA, NY 11423(718) 577-2211(929) 399-7959 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2023, Sep 5, 2022, Aug 26, 2022 (3 updates tracked since 2022).

About Healthmed Diagnostic & Treatment Center NPPES

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

HEALTHMED DIAGNOSTIC & TREATMENT CENTER (NPI 1295454650) is a healthcare organization registered as a multi-specialty in Jamaica, New York and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ari Kalontarov, President, as its authorized official.

NPPES Registry Identity

NPI1295454650
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameHOLLIS AK LLC
Location Address19002 JAMAICA AVEJamaica, NY 11423-2034
Mailing Address19002 Jamaica AveJamaica, NY 11423-2034 · (718) 577-2211 · Fax (929) 399-7959
Fax(929) 399-7959
Organization SubpartNo
Authorized OfficialAri KalontarovPresident · (347) 245-2279
Enumeration DateAugust 26, 2022
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2022
✔ NPI 1295454650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
19002 JAMAICA AVE, Jamaica, NY 11423

Other Names 1

Doing Business AsHealthmed Diagnostic & Treatment Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthmed Diagnostic & Treatment Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Healthmed Diagnostic & Treatment Center, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner6
Podiatry4
Cardiovascular Disease (Cardiology)2
Family Practice2
Clinical Psychologist1
Internal Medicine1
Psychiatry1
Urology1

Clinicians, nearest first (18)

Podiatry
NPI 1588624902
20507 HILLSIDE AVE SUITE 15
Hollis, NY 11423
(718) 479-5747
✔ PECOS0.8 mi
Cardiovascular Disease (Cardiology)
NPI 1053630798
8900 VAN WYCK EXPY
Jamaica, NY 11418
(718) 206-7100
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1356005425
14146 72ND DR
Flushing, NY 11367
(646) 525-5965
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1053511691
11220 LIBERTY AVE
South Richmond Hill, NY 11419
(718) 554-6600
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1457902058
16410 NORTHERN BLVD STE 204
Flushing, NY 11358
(718) 886-2011
✔ PECOS3.8 mi
Psychiatry
NPI 1457453862
107-40 QUEENS BLVD SUITE #206
Forest Hills, NY 11375
(718) 275-0103
✔ PECOS✔ Accepts Medicare4.0 mi
Podiatry
NPI 1831297902
6812 YELLOWSTONE BLVD SUITE A
Forest Hills, NY 11375
(718) 575-3737
✔ PECOS✔ Accepts Medicare4.3 mi
Podiatry
NPI 1932776341
9155 97TH ST
Woodhaven, NY 11421
(347) 206-1909
✔ PECOS✔ Accepts Medicare4.3 mi
Family Practice
NPI 1063832467
6271 WOODHAVEN BLVD
Rego Park, NY 11374
(347) 338-0503
✔ PECOS✔ Accepts Medicare5.3 mi
Urology
NPI 1437196888
3711 88TH ST
Jackson Heights, NY 11372
(718) 478-9292
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1649743634
1 HEALTHY WAY
Oceanside, NY 11572
(516) 632-3000
✔ PECOS✔ Accepts Medicare8.7 mi
Internal Medicine
NPI 1063822468
3462 9TH ST APT 1
Astoria, NY 11106
(718) 709-1600
✔ PECOS✔ Accepts Medicare9.7 mi
Cardiovascular Disease (Cardiology)
NPI 1770558397
2825 3RD AVE STE 201
Bronx, NY 10455
(718) 887-7171
✔ PECOS11 mi
Nurse Practitioner
NPI 1306103122
394 BROADWAY FL 4
New York, NY 10013
(212) 966-9537
✔ PECOS12 mi
Clinical Psychologist
NPI 1417245440
416 37TH ST
Brooklyn, NY 11232
(718) 614-9357
✔ PECOS✔ Accepts Medicare13 mi
Podiatry
NPI 1407910292
8010 4TH AVE
Brooklyn, NY 11209
(718) 883-1600
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1891452959
55 2ND AVE UNIT 2
Brentwood, NY 11717
(631) 983-3237
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1598441792
601 ELMWOOD AVENUE BOX SON
Rochester, NY 14642
(585) 275-2375
✔ PECOS✔ Accepts Medicare259 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2232270

Healthmed Diagnostic And Treatment Center Dba Hollis Ak LLC · Hollis, NY
Active · expires Mar 26, 2027
CLIA Number33D2232270
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 11, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Diana Barayeva
Laboratory Phone(718) 577-2211
Laboratory LocationHealthmed Diagnostic And Treatment Center Dba Hollis Ak LLC190-02 Jamaica Ave, Hollis, NY 11423
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hollis Ak LLC's NPI number?

The NPI number for Hollis Ak LLC is 1295454650. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as Healthmed Diagnostic & Treatment Center.

Where is Hollis Ak LLC located?

Hollis Ak LLC is located at 19002 Jamaica Ave, Jamaica, NY 11423. The listed phone number is (718) 577-2211.

What is Hollis Ak LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Hollis Ak LLC enrolled in Medicare?

Yes. Hollis Ak LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hollis Ak LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 8 Medicare specialties reassign their Medicare billing to Hollis Ak LLC. 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. The largest specialties are Nurse Practitioner (6), Podiatry (4) and Cardiovascular Disease (Cardiology) (2). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hollis Ak LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2232270) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hollis Ak LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.