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9317 MEDICAL OFFICE PC
NPI 1871707372
Internal Medicine in Jackson Heights, NY

Active since May 10, 2007CLIA 33D0973890 · Waiver
9317 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 446-0270(718) 446-5939 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About 9317 Medical Office Pc NPPES

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

9317 MEDICAL OFFICE PC (NPI 1871707372) is a healthcare organization registered as an internal medicine in Jackson Heights, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 22, 2028, maintains a secondary practice location in Miami, and lists Sandra J Marrero, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871707372
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business Name9317 MEDICAL OFFICE PC
Location Address9317 ROOSEVELT AVEJackson Heights, NY 11372-7943
Mailing Address9317 Roosevelt AveJackson Heights, NY 11372-7943 · (718) 446-0270 · Fax (718) 446-5939
Phone(718) 446-0270
Fax(718) 446-5939
Organization SubpartNo
Authorized OfficialSandra J MarreroOffice Manager · (718) 446-0270
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1871707372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
9317 ROOSEVELT AVE, Jackson Heights, NY 11372
Open in Google Maps ↗

Secondary Practice Location 1

Location 12645 SW 37th Ave Ste 701Miami, FL 33133-2745 · Phone (718) 489-9527 · Fax (718) 446-5939

Other Identifiers 2

Medicaid01748636NY
Medicaid121841700FL

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 33D0973890

9317 Medical Office PC · Elmhurst, NY
Active · expires May 22, 2028
CLIA Number33D0973890
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Alain A. Sosa
Laboratory Phone(718) 446-0270
Laboratory Location9317 Medical Office PC40-08 Forley Street, Elmhurst, NY 11373
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 3

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

PEDRO PABLO DEL TORO BAEZ M.D., P.C.
Internal Medicine
9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 899-0505
PEDRO PABLO DEL TORO BAEZ M.D.
Internal Medicine
9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 899-0505
MR. ALBERT CASTRO MARCANO NP
Nurse Practitioner (Primary Care)
9317 ROOSEVELT AVE, 2ND FLOOR
JACKSON HEIGHTS, NY 11372
Queens County (718) 424-1557

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 9317 Medical Office PC's NPI number?

The NPI number for 9317 Medical Office PC is 1871707372. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is 9317 Medical Office PC located?

9317 Medical Office PC is located at 9317 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 446-0270.

What is 9317 Medical Office PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does 9317 Medical Office PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0973890) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 9317 Medical Office PC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.