63 ST MEDICAL HEATHCARE PC
NPI 1396012324
General Practice in Woodside, NY

Q: What is 63 St Medical Heathcare PC's NPI number?

The NPI number for 63 St Medical Heathcare PC is 1396012324. It was assigned to this organization in the NPPES registry on November 18, 2011.

Q: What is 63 St Medical Heathcare PC's specialty?

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

Active since November 18, 2011

3939 63RD ST # 1A, WOODSIDE, NY 11377(718) 205-2992 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About 63 St Medical Heathcare Pc NPPES

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

63 ST MEDICAL HEATHCARE PC (NPI 1396012324) is a healthcare organization registered as a general practice in Woodside, New York and active in the NPI registry since November 2011. The organization lists Dan Acaru, President, as its authorized official.

NPPES Registry Identity

NPI1396012324

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business Name63 ST MEDICAL HEATHCARE PC

Location Address3939 63RD ST # 1AWoodside, NY 11377-3648

Mailing Address3939 63rd St # 1aWoodside, NY 11377-3648 · (718) 205-2992

Phone(718) 205-2992

Organization SubpartNo

Authorized OfficialDan AcaruPresident · (718) 205-2992

Enumeration DateNovember 18, 2011

✔ NPI 1396012324 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 · 141555

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

3939 63RD ST # 1A, Woodside, NY 11377

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB12137NY

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

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 63 St Medical Heathcare PC's NPI number?

The NPI number for 63 St Medical Heathcare PC is 1396012324. It was assigned to this organization in the NPPES registry on November 18, 2011.

Where is 63 St Medical Heathcare PC located?

63 St Medical Heathcare PC is located at 3939 63rd St # 1A, Woodside, NY 11377. The listed phone number is (718) 205-2992.

What is 63 St Medical Heathcare PC'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 63 St Medical Heathcare PC was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.