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210 MJD MEDICAL, PLLC
NPI 1750712220
Clinic/Center - Multi-Specialty in Far Rockaway, NY

Active since December 09, 2013CLIA 33D2155349 · Waiver
228 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(917) 847-4980(833) 424-4357 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Nov 18, 2024, Aug 21, 2024 and 3 more (6 updates tracked since 2020).

About 210 Mjd Medical, Pllc NPPES

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

210 MJD MEDICAL, PLLC (NPI 1750712220), doing business as Silver Star Urgent Care, is a healthcare organization registered as a multi-specialty in Far Rockaway, New York and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Dinesh Verma, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1750712220
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business Name210 MJD MEDICAL, PLLC
Location Address228 BEACH 20TH STFar Rockaway, NY 11691-3618
Mailing Address249 Old Country RdCarle Place, NY 11514-2024 · (917) 847-4980 · Fax (833) 424-4357
Phone(917) 847-4980
Fax(833) 424-4357
Organization SubpartNo
Authorized OfficialDinesh VermaDelegated Official · (917) 847-4980
Enumeration DateDecember 9, 2013
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1750712220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
228 BEACH 20TH ST, Far Rockaway, NY 11691
Open in Google Maps ↗

Other Names 1

Doing Business AsSilver Star Urgent Care

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 33D2155349

210 Mjd Medical PLLC Dba Silver Star Urgent Care · Far Rockaway, NY
Active · expires Sep 26, 2026
CLIA Number33D2155349
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorDr. Dinesh K. Verma
Laboratory Phone(718) 924-7577
Laboratory Location210 Mjd Medical PLLC Dba Silver Star Urgent Care228 Beach 20th Street, Far Rockaway, NY 11691
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

AIJUAN WANG MEDICINE PLLC
Clinic/Center (Urgent Care)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (833) 424-4357
BLESSY SAMUEL NP
Nurse Practitioner (Family)
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (929) 437-6161
MARIO SALONGA, PT
Physical Therapist
228 BEACH 20TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 471-6500

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 210 Mjd Medical, PLLC's NPI number?

The NPI number for 210 Mjd Medical, PLLC is 1750712220. It was assigned to this organization in the NPPES registry on December 9, 2013. The provider is doing business as Silver star urgent care.

Where is 210 Mjd Medical, PLLC located?

210 Mjd Medical, PLLC is located at 228 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (917) 847-4980.

What is 210 Mjd Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does 210 Mjd Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2155349) is associated with this NPI, valid through September 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 210 Mjd Medical, PLLC was last updated on September 2, 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.