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QUEENS STAR MEDICAL PLLC
NPI 1417145582
Internal Medicine in Rego Park, NY

Active since October 13, 2007CLIA 33D1103360 · Waiver
63118 WOODHAVEN BLVD, REGO PARK, NY 11374(718) 416-0303(718) 416-0330 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Queens Star Medical Pllc NPPES

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

QUEENS STAR MEDICAL PLLC (NPI 1417145582) is a healthcare organization registered as an internal medicine in Rego Park, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Eduard Levy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417145582
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUEENS STAR MEDICAL PLLC
Location Address63118 WOODHAVEN BLVDRego Park, NY 11374-4841
Mailing Address63118 Woodhaven BlvdRego Park, NY 11374-4841 · (718) 416-0303 · Fax (718) 416-0330
Phone(718) 416-0303
Fax(718) 416-0330
Organization SubpartNo
Authorized OfficialEduard LevyMedical Director · (718) 416-0303
Enumeration DateOctober 13, 2007
Last NPPES UpdateAugust 12, 2011
✔ NPI 1417145582 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 · 236739
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.
63118 WOODHAVEN BLVD, Rego Park, NY 11374
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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

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 33D1103360

Queens Star Medical PLLC · Rego Park, NY
Active · expires Aug 9, 2027
CLIA Number33D1103360
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDr. Asya Levy
Laboratory Phone(718) 416-0303
Laboratory LocationQueens Star Medical PLLC62-98 Woodhaven Blvd - Ste S7, Rego Park, NY 11374
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 2

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

EDUARD LEVY M.D.
Internal Medicine
63118 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (718) 416-0303
ASYA LEVY M.D.
Internal Medicine
63118 WOODHAVEN BLVD
REGO PARK, NY 11374
Queens County (718) 416-0303

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 Star Medical PLLC's NPI number?

The NPI number for Queens Star Medical PLLC is 1417145582. It was assigned to this organization in the NPPES registry on October 13, 2007.

Where is Queens Star Medical PLLC located?

Queens Star Medical PLLC is located at 63118 Woodhaven Blvd, Rego Park, NY 11374. The listed phone number is (718) 416-0303.

What is Queens Star Medical PLLC's specialty?

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

Does Queens Star Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1103360) is associated with this NPI, valid through August 9, 2027. 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 Star Medical PLLC was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.