EASTERN PARK MEDICAL SERVICES,P.C. - NPI 1588957658 - Internal Medicine in Jackson Heights, NY

Q: What is Eastern Park Medical Services,p.C.'s NPI number?

The NPI number for Eastern Park Medical Services,p.C. is 1588957658. It was assigned to this organization in the NPPES registry on May 24, 2011.

Q: What is Eastern Park Medical Services,p.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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About Eastern Park Medical Services,p.c. NPPES

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

EASTERN PARK MEDICAL SERVICES,P.C. (NPI 1588957658) is a healthcare organization registered as a pulmonary disease in Jackson Heights, New York and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Alveris Molina, President, as its authorized official.

NPPES Registry Identity

NPI1588957658

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameEASTERN PARK MEDICAL SERVICES,P.C.

Location Address9315 ROOSEVELT AVEJackson Heights, NY 11372-7943

Mailing Address9315 Roosevelt AveJackson Heights, NY 11372-7943 · (917) 968-6844

Phone(917) 968-6844

Organization SubpartNo

Authorized OfficialAlveris MolinaPresident · (646) 325-9663

Enumeration DateMay 24, 2011

✔ NPI 1588957658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

9315 ROOSEVELT AVE, Jackson Heights, NY 11372

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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 33D2024812

Eastern Park Medical Services, PC · Jackson Heights, NY

Active · expires May 23, 2027

CLIA Number33D2024812

Laboratory TypePhysician Office

Certificate Effective DateMay 24, 2025

Certificate Expiration DateMay 23, 2027

Laboratory DirectorDr. Alveris Molina

Laboratory Phone(718) 426-4747

Laboratory LocationEastern Park Medical Services, PC93-19 Roosevelt Avenue, Jackson Heights, NY 11372

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JACKSON HEIGHTS LATIN MEDICAL GROUP PC

Internal Medicine