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SUPREME MEDICAL CARE, PLLC.
NPI 1477863900
Internal Medicine in Hollis, NY

Active since October 18, 2010CLIA 33D2094506 · Waiver
18911 JAMAICA AVE, HOLLIS, NY 11423(718) 479-1100(718) 479-1103 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supreme Medical Care, Pllc. NPPES

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

SUPREME MEDICAL CARE, PLLC. (NPI 1477863900) is a healthcare organization registered as an internal medicine in Hollis, New York and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Ahsan Nazir, President, as its authorized official.

NPPES Registry Identity

NPI1477863900
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUPREME MEDICAL CARE, PLLC.
Location Address18911 JAMAICA AVEHollis, NY 11423-2513
Mailing Address237 Cushing AveWilliston Park, NY 11596-1050 · (516) 633-9508
Phone(718) 479-1100
Fax(718) 479-1103
Organization SubpartNo
Authorized OfficialAhsan NazirPresident · (516) 633-9508
Enumeration DateOctober 18, 2010
Last NPPES UpdateJune 10, 2016
✔ NPI 1477863900 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 · 207297
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.
18911 JAMAICA AVE, Hollis, NY 11423
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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

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 33D2094506

Supreme Medical Care PLLC · Hollis, NY
Active · expires Apr 19, 2027
CLIA Number33D2094506
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Ahsan Nazir
Laboratory Phone(718) 479-1100
Laboratory LocationSupreme Medical Care PLLC189-11 Jamaica Avenue, Hollis, NY 11423
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 4

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

DR. SHAHARYAR AHMAD MD
Anesthesiology (Pain Medicine)
18911 JAMAICA AVE
JAMAICA, NY 11423
Queens County (732) 306-3878
DR. AHSAN NAZIR M.D.
Internal Medicine
18911 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 479-1100
SERENITY MEDICAL SERVICES PC
Anesthesiology (Pain Medicine)
18911 JAMAICA AVE
JAMAICA, NY 11423
Queens County (732) 306-3878
HOLLIS PEDIATRICS
Specialist
18911 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 776-1100

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 Supreme Medical Care, PLLC.'s NPI number?

The NPI number for Supreme Medical Care, PLLC. is 1477863900. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Supreme Medical Care, PLLC. located?

Supreme Medical Care, PLLC. is located at 18911 Jamaica Ave, Hollis, NY 11423. The listed phone number is (718) 479-1100.

What is Supreme Medical Care, PLLC.'s specialty?

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

Does Supreme Medical Care, PLLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2094506) is associated with this NPI, valid through April 19, 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 Supreme Medical Care, PLLC. was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.