ADVANCED MEDICAL CARE PLLC
NPI 1689745424
Nuclear Medicine - Nuclear Cardiology in Forest Hills, NY

Active since November 13, 2006CLIA 33D1084451 · Waiver
10124 QUEENS BLVD STE A, FOREST HILLS, NY 11375(718) 261-8881(718) 261-8889 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Medical Care Pllc NPPES

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

ADVANCED MEDICAL CARE PLLC (NPI 1689745424) is a healthcare organization registered as a nuclear cardiology in Forest Hills, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Melissa Gibson, Manager, as its authorized official.

NPPES Registry Identity

NPI1689745424
Entity TypeOrganization
Primary Taxonomy207UN0901X
Legal Business NameADVANCED MEDICAL CARE PLLC
Location Address10124 QUEENS BLVD STE AForest Hills, NY 11375-2703
Mailing Address10124 Queens Blvd Ste AForest Hills, NY 11375-2703 · (718) 261-8881 · Fax (718) 261-8889
Fax(718) 261-8889
Organization SubpartNo
Authorized OfficialMelissa GibsonManager · (718) 261-8068
Enumeration DateNovember 13, 2006
Last NPPES UpdateMay 3, 2010
NPI 1689745424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0901X
Definition

A nuclear medicine physician who specializes in nuclear cardiology.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 009605 (NY)
10124 QUEENS BLVD STE A, Forest Hills, NY 11375

Other Identifiers 3

Medicare ID-Type Unspecified03098NY
Medicaid02851334NY
Medicaid01908598NY

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

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 33D1084451

Advanced Medical Care PLLC · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D1084451
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Marina Neystat
Laboratory Phone(718) 261-8881
Laboratory LocationAdvanced Medical Care PLLC101-24 Queens Blvd - Suite A, Forest Hills, NY 11375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Physical Therapist (Orthopedic)
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Physician Assistant (Medical)
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Internal Medicine (Infectious Disease)
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Psychiatry & Neurology (Neurology)
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Physical Therapist
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Nurse Practitioner (Family)
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375
Physical Therapist
10124 QUEENS BLVD STE A
FOREST HILLS, NY 11375

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 Advanced Medical Care PLLC's NPI number?

The NPI number for Advanced Medical Care PLLC is 1689745424. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Advanced Medical Care PLLC located?

Advanced Medical Care PLLC is located at 10124 Queens Blvd Ste A, Forest Hills, NY 11375. The listed phone number is (718) 261-8881.

What is Advanced Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Does Advanced Medical Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1084451) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Medical Care PLLC was last updated on May 3, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.