DR. WALTER ANDREW MEDINA SR. D.O.
NPI 1336163179
General Practice in Forest Hills, NY

Q: What is Walter Medina's NPI number?

The NPI number for Walter Medina is 1336163179. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Walter Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 26, 2006

6370 110TH ST, FOREST HILLS, NY 11375(718) 833-8052(718) 833-8968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Walter Andrew Medina Sr. D.o. NPPES

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

DR. WALTER ANDREW MEDINA SR. D.O. (NPI 1336163179) is an individual general practice provider in Forest Hills, New York, licensed in New York (206169) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336163179

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. WALTER ANDREW MEDINA SR.Credential: D.O.

Location Address6370 110TH STForest Hills, NY 11375-1440

Mailing Address6370 110th StForest Hills, NY 11375-1440 · (718) 833-8052 · Fax (718) 833-8968

Phone(718) 833-8052

Fax(718) 833-8968

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336163179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 206169

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6370 110TH ST, Forest Hills, NY 11375

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Other Identifiers 4

Medicare UPING61083NY

Medicare ID-Type Unspecified05888GNY

Medicaid01744632NY

Medicare ID-Type Unspecified86Y561NY

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 Walter Medina's NPI number?

The NPI number for Walter Medina is 1336163179. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Walter Medina located?

Walter Medina practices at 6370 110th St, Forest Hills, NY 11375. The listed phone number is (718) 833-8052.

What is Walter Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Walter Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.