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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: August 16, 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.

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
PIERRE RENELIQUE MD PC
Specialist
870 CENTRAL AVE
FAR ROCKAWAY, NY 11691
Queens County (718) 466-4772

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 Juan A Medina Medical Office PC's NPI number?

The NPI number for Juan A Medina Medical Office PC is 1477868032. It was assigned to this organization in the NPPES registry on August 6, 2010.

Where is Juan A Medina Medical Office PC located?

Juan A Medina Medical Office PC is located at 870 Central Ave, Far Rockaway, NY 11691. The listed phone number is (718) 327-3458.

What is Juan A Medina Medical Office PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Juan A Medina Medical Office PC was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.