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ETA MEDICAL MANAGEMENT INC
NPI 1336900836
Internal Medicine in Woodside, NY

Active since January 22, 2024
5407 ROOSEVELT AVE, WOODSIDE, NY 11377(718) 205-0030(806) 552-9573 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2024, Aug 14, 2024 (2 updates tracked since 2024).

About Eta Medical Management Inc NPPES

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

ETA MEDICAL MANAGEMENT INC (NPI 1336900836) is a healthcare organization registered as an internal medicine in Woodside, New York and active in the NPI registry since January 2024. The organization lists Kathleen Mcdermott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336900836
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameETA MEDICAL MANAGEMENT INC
Location Address5407 ROOSEVELT AVEWoodside, NY 11377-4240
Mailing Address5407 Roosevelt AveWoodside, NY 11377-4240 · (718) 205-0030 · Fax (806) 552-9573
Phone(718) 205-0030
Fax(806) 552-9573
Organization SubpartNo
Authorized OfficialKathleen McdermottCeo · (718) 205-0030
Enumeration DateJanuary 22, 2024
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1336900836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
5407 ROOSEVELT AVE, Woodside, NY 11377
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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

Other Providers at the Same Location NPPES 2

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

NEW YORK HAND SURGERY OF QUEENS PC
Orthopaedic Surgery
5407 ROOSEVELT AVE
WOODSIDE, NY 11377
Queens County (718) 369-4263
JIALIN SEE NAH M.D.
Internal Medicine
5407 ROOSEVELT AVE
WOODSIDE, NY 11377
Queens County (347) 892-6658

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 Eta Medical Management Inc's NPI number?

The NPI number for Eta Medical Management Inc is 1336900836. It was assigned to this organization in the NPPES registry on January 22, 2024.

Where is Eta Medical Management Inc located?

Eta Medical Management Inc is located at 5407 Roosevelt Ave, Woodside, NY 11377. The listed phone number is (718) 205-0030.

What is Eta Medical Management Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Eta Medical Management Inc was last updated on September 23, 2024. 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.