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HOLLIS MEDICAL CARE, P.C.
NPI 1639374390
Surgery in Hollis, NY

Active since June 20, 2007
19002 JAMAICA AVE, HOLLIS, NY 11423(718) 740-0710(718) 740-0755 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Hollis Medical Care, P.c. NPPES

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

HOLLIS MEDICAL CARE, P.C. (NPI 1639374390) is a healthcare organization registered as a surgery in Hollis, New York and active in the NPI registry since June 2007. The organization lists Simon Davydov, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639374390
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameHOLLIS MEDICAL CARE, P.C.
Location Address19002 JAMAICA AVEHollis, NY 11423-2516
Mailing Address19002 Jamaica AveHollis, NY 11423-2516 · (718) 740-0710 · Fax (718) 740-0755
Phone(718) 740-0710
Fax(718) 740-0755
Organization SubpartNo
Authorized OfficialSimon DavydovAdministrator · (718) 740-0710
Enumeration DateJune 20, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1639374390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal MedicineTaxonomy 207R00000X
19002 JAMAICA AVE, Hollis, NY 11423
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Other Identifiers 3

Medicaid02573462NY
Medicaid02724578NY
Medicaid00201583NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

HOLLIS AK LLC
Clinic/Center (Multi-Specialty)
19002 JAMAICA AVE
JAMAICA, NY 11423
Queens County (718) 577-2211
BHAKTI PATEL FNP-C
Nurse Practitioner (Family)
19002 JAMAICA AVE
JAMAICA, NY 11423
Queens County (718) 577-2211
MARY BEST
Nurse Practitioner (Family)
19002 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 245-4442
ADIEL DERKHIDAM
Nurse Practitioner (Primary Care)
19002 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 577-2211
HOLLIS ADVANCED DENTAL CARE P.C.
Dentist
19002 JAMAICA AVE, 2 FLOOR
HOLLIS, NY 11423
Queens County (718) 454-7418
TONY YEHIA DMD
Dentist
19002 JAMAICA AVE
HOLLIS, NY 11423
Queens County (718) 454-7418

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 Hollis Medical Care, P.C.'s NPI number?

The NPI number for Hollis Medical Care, P.C. is 1639374390. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Hollis Medical Care, P.C. located?

Hollis Medical Care, P.C. is located at 19002 Jamaica Ave, Hollis, NY 11423. The listed phone number is (718) 740-0710.

What is Hollis Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Hollis Medical Care, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.