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112 GVR MEDICAL, PC
NPI 1649315771
Family Medicine in Forest Hills, NY

Active since February 20, 2007
6960 108TH ST, SUITE 108, FOREST HILLS, NY 11375(718) 263-0200(718) 263-0205 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 112 Gvr Medical, Pc NPPES

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

112 GVR MEDICAL, PC (NPI 1649315771) is a healthcare organization registered as a family medicine in Forest Hills, New York and active in the NPI registry since February 2007. The organization lists Ida Tetro, Owner, as its authorized official.

NPPES Registry Identity

NPI1649315771
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name112 GVR MEDICAL, PC
Location Address6960 108TH ST, SUITE 108Forest Hills, NY 11375-4323
Mailing Address6960 108th St, Suite 108Forest Hills, NY 11375-4323 · (718) 263-0200 · Fax (718) 263-0205
Phone(718) 263-0200
Fax(718) 263-0205
Organization SubpartNo
Authorized OfficialIda TetroOwner · (718) 263-0200
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649315771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 220405
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6960 108TH ST, Forest Hills, NY 11375
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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

Other Providers at the Same Location NPPES 8

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

AKIVA PERLMAN LCSW
Social Worker (Clinical)
6960 108TH ST
FOREST HILLS, NY 11375
Queens County (347) 342-8073
DR. DANIEL S REICH M.D.
Internal Medicine (Gastroenterology)
6960 108TH ST, SUITE 107
FOREST HILLS, NY 11375
Queens County (718) 544-0442
MICHAEL REICH MD
Surgery
6960 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 544-0442
DR. NODAR KOZHIN MD
Obstetrics & Gynecology
6960 108TH ST, SUITE 101
FOREST HILLS, NY 11375
Queens County (718) 275-8200
BOTER & KOZHIN OBSTETRICAL & GYNECOLOGICAL PC
Obstetrics & Gynecology
6960 108TH ST, SUITE 101
FOREST HILLS, NY 11375
Queens County (718) 275-8200
IDA TETRO MD
Family Medicine
6960 108TH ST, SUITE 108
FOREST HILLS, NY 11375
Queens County (718) 263-0200
MRS. VIVIANNE MORALES RN
Registered Nurse (Medical-Surgical)
6960 108TH ST
FOREST HILLS, NY 11375
Queens County (718) 544-0442
NODAR KOZHIN MD P.C.
Obstetrics & Gynecology
6960 108TH ST, 101
FOREST HILLS, NY 11375
Queens County (718) 275-8200

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 112 Gvr Medical, PC's NPI number?

The NPI number for 112 Gvr Medical, PC is 1649315771. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is 112 Gvr Medical, PC located?

112 Gvr Medical, PC is located at 6960 108th St Suite 108, Forest Hills, NY 11375. The listed phone number is (718) 263-0200.

What is 112 Gvr Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for 112 Gvr Medical, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.