MILLENNIUM MEDICAL GROUP PC
NPI 1386725695
Internal Medicine in Jackson Heights, NY

Active since October 17, 2006
9320A ROOSEVELT AVE FL 2, JACKSON HEIGHTS, NY 11372(718) 404-9157(718) 424-0414 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Millennium Medical Group Pc NPPES

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

MILLENNIUM MEDICAL GROUP PC (NPI 1386725695) is a healthcare organization registered as an internal medicine in Jackson Heights, New York and active in the NPI registry since October 2006. The organization lists Jose A Fulgencio-delmonte, Md, as its authorized official.

NPPES Registry Identity

NPI1386725695
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLENNIUM MEDICAL GROUP PC
Location Address9320A ROOSEVELT AVE FL 2Jackson Heights, NY 11372-7965
Mailing Address9320a Roosevelt Ave Fl 2Jackson Heights, NY 11372-7965 · (718) 404-9157 · Fax (718) 424-0414
Fax(718) 424-0414
Organization SubpartNo
Authorized OfficialJose A Fulgencio-delmonteMd · (718) 404-9157
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1386725695 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 · 203635
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.
9320A ROOSEVELT AVE FL 2, Jackson Heights, NY 11372

Other Identifiers 1

Medicaid02407716NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Millennium Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Millennium Medical Group PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1902868227
9320A ROOSEVELT AVE FL 2
Jackson Heights, NY 11372
(718) 404-9157
✔ PECOSSame address
Internal Medicine
NPI 1134109382
9320A ROOSEVELT AVE FL 2
Jackson Heights, NY 11372
(718) 404-9157
✔ PECOSSame address

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

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 Millennium Medical Group PC's NPI number?

The NPI number for Millennium Medical Group PC is 1386725695. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Millennium Medical Group PC located?

Millennium Medical Group PC is located at 9320A Roosevelt Ave Fl 2, Jackson Heights, NY 11372. The listed phone number is (718) 404-9157.

What is Millennium Medical Group PC's specialty?

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

Is Millennium Medical Group PC enrolled in Medicare?

Yes. Millennium Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Millennium Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Millennium Medical Group PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Millennium Medical Group PC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.