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ROOSEVELT MEDICAL SERVICES P C
NPI 1578858940
Internal Medicine - Geriatric Medicine in Woodside, NY

Active since June 14, 2011
6709 ROOSEVELT AVE, 1ST FLOOR, WOODSIDE, NY 11377(718) 426-9486(718) 426-9302 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roosevelt Medical Services P C NPPES

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

ROOSEVELT MEDICAL SERVICES P C (NPI 1578858940) is a healthcare organization registered as a geriatric medicine in Woodside, New York and active in the NPI registry since June 2011. The organization lists Mario Rodrigo Haro, President, as its authorized official.

NPPES Registry Identity

NPI1578858940
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameROOSEVELT MEDICAL SERVICES P C
Location Address6709 ROOSEVELT AVE, 1ST FLOORWoodside, NY 11377-2923
Mailing Address6709 Roosevelt Ave, 1st FloorWoodside, NY 11377-2923 · (718) 426-9486 · Fax (718) 426-9302
Phone(718) 426-9486
Fax(718) 426-9302
Organization SubpartNo
Authorized OfficialMario Rodrigo HaroPresident · (718) 426-9486
Enumeration DateJune 14, 2011
Last NPPES UpdateMarch 9, 2018
✔ NPI 1578858940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
6709 ROOSEVELT AVE, Woodside, NY 11377
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roosevelt Medical Services P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roosevelt Medical Services P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mario Haro
Internal Medicine
NPI 1699843664
555 ROCKAWAY PKWY
Brooklyn, NY 11212
(718) 240-5161
✔ PECOS✔ Accepts Medicare6.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Roosevelt Medical Services P C's NPI number?

The NPI number for Roosevelt Medical Services P C is 1578858940. It was assigned to this organization in the NPPES registry on June 14, 2011.

Where is Roosevelt Medical Services P C located?

Roosevelt Medical Services P C is located at 6709 Roosevelt Ave 1st Floor, Woodside, NY 11377. The listed phone number is (718) 426-9486.

What is Roosevelt Medical Services P C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Roosevelt Medical Services P C enrolled in Medicare?

Yes. Roosevelt Medical Services P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roosevelt Medical Services P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Roosevelt Medical Services P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roosevelt Medical Services P C was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.