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JUAN A MEDINA MEDICAL OFFICE PC
NPI 1477868032
Clinic/Center - Primary Care in Far Rockaway, NY

Active since August 06, 2010
870 CENTRAL AVE, FAR ROCKAWAY, NY 11691(718) 327-3458(718) 337-2390 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Juan A Medina Medical Office Pc NPPES

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

JUAN A MEDINA MEDICAL OFFICE PC (NPI 1477868032) is a healthcare organization registered as a primary care in Far Rockaway, New York and active in the NPI registry since August 2010. The organization lists Juan Antonio Medina, President, as its authorized official.

NPPES Registry Identity

NPI1477868032
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJUAN A MEDINA MEDICAL OFFICE PC
Location Address870 CENTRAL AVEFar Rockaway, NY 11691-4660
Mailing Address870 Central AveFar Rockaway, NY 11691-4660 · (718) 327-3458 · Fax (718) 337-2390
Phone(718) 327-3458
Fax(718) 337-2390
Organization SubpartNo
Authorized OfficialJuan Antonio MedinaPresident · (718) 327-3458
Enumeration DateAugust 6, 2010
✔ NPI 1477868032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 245701
870 CENTRAL AVE, Far Rockaway, NY 11691
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Other Identifiers 1

Medicaid02989077NY

Other Providers at the Same Location NPPES 3

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

PIERRE RENELIQUE MD PC
Specialist
870 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 466-4772
JUAN A MEDINA M.D.
Internal Medicine
870 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 337-5900
DR. SIMA LAUREN HOCH DDS
Dentist
870 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 676-6000

Frequently Asked Questions

What is JUAN A MEDINA MEDICAL OFFICE PC's NPI number?

The NPI number assigned to this healthcare provider is 1477868032, enumerated as an "organization" on August 06, 2010.

Where is the provider located?

The provider is located at 870 CENTRAL AVE FAR ROCKAWAY, NY 11691 and the phone number is (718) 327-3458.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does JUAN A MEDINA MEDICAL OFFICE PC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.