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QUEENS - NY MEDICAL, P.C.
NPI 1316077068
Internal Medicine in Flushing, NY

Active since March 06, 2007CLIA 33D0942557 · Waiver
4004 BOWNE ST, SUITE 1I, FLUSHING, NY 11354(718) 539-3359(718) 358-3837 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Queens - Ny Medical, P.c. NPPES

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

QUEENS - NY MEDICAL, P.C. (NPI 1316077068) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Ida Bronfman, President, as its authorized official.

NPPES Registry Identity

NPI1316077068
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUEENS - NY MEDICAL, P.C.
Location Address4004 BOWNE ST, SUITE 1IFlushing, NY 11354-6143
Mailing Address4004 Bowne St, Suite 1iFlushing, NY 11354-6143 · (718) 539-3359 · Fax (718) 358-3837
Phone(718) 539-3359
Fax(718) 358-3837
Organization SubpartNo
Authorized OfficialIda BronfmanPresident · (718) 539-3359
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 14, 2007
✔ NPI 1316077068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 199887
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4004 BOWNE ST, Flushing, NY 11354
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Other Identifiers 7

Medicare PIN01921NY
Medicare UPINY06625NY
Medicaid01580827NY
Medicaid02517393NY
Medicare UPING05652NY
Medicare PIN06205GNY
Medicare PIN06205NY

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 33D0942557

Queens-Ny Medical, PC · Flushing, NY
Active · expires Mar 12, 2028
CLIA Number33D0942557
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorIda Bronfman
Laboratory Phone(718) 539-3359
Laboratory LocationQueens-Ny Medical, PC40-04 Bowne Street, Suite 1I, Flushing, NY 11354
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 3

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

NEW YORK PHYSICAL THERAPY REHABILITATION SERVICES
Physical Therapist
4004 BOWNE ST, SUITE 1I
FLUSHING, NY 11354
Queens County (718) 539-3359
DR. IDA BRONFMAN M.D.
Internal Medicine
4004 BOWNE ST, SUITE 1I
FLUSHING, NY 11354
Queens County (718) 539-3359
MRS. GERTINA TINA KURLAND PT
Physical Therapist
4004 BOWNE ST, 1I
FLUSHING, NY 11354
Queens County (718) 539-3359

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 Queens - Ny Medical, P.C.'s NPI number?

The NPI number for Queens - Ny Medical, P.C. is 1316077068. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Queens - Ny Medical, P.C. located?

Queens - Ny Medical, P.C. is located at 4004 Bowne St Suite 1I, Flushing, NY 11354. The listed phone number is (718) 539-3359.

What is Queens - Ny Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Queens - Ny Medical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0942557) is associated with this NPI, valid through March 12, 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 Queens - Ny Medical, P.C. was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.