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QUEENS MEDICAL SOUTH PC
NPI 1881965804
Family Medicine in Woodside, NY

Active since January 23, 2012
3939 63RD ST, WOODSIDE, NY 11377(646) 397-0005(888) 388-5171 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Queens Medical South Pc NPPES

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

QUEENS MEDICAL SOUTH PC (NPI 1881965804) is a healthcare organization registered as a family medicine in Woodside, New York and active in the NPI registry since January 2012. The organization lists Sung Kim, President, as its authorized official.

NPPES Registry Identity

NPI1881965804
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUEENS MEDICAL SOUTH PC
Location Address3939 63RD STWoodside, NY 11377-3648
Mailing Address3939 63rd StWoodside, NY 11377-3648 · (646) 397-0005 · Fax (888) 388-5171
Phone(646) 397-0005
Fax(888) 388-5171
Organization SubpartNo
Authorized OfficialSung KimPresident · (646) 397-0005
Enumeration DateJanuary 23, 2012
✔ NPI 1881965804 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 · 105860
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.
3939 63RD ST, Woodside, NY 11377
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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

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 Queens Medical South PC's NPI number?

The NPI number for Queens Medical South PC is 1881965804. It was assigned to this organization in the NPPES registry on January 23, 2012.

Where is Queens Medical South PC located?

Queens Medical South PC is located at 3939 63rd St, Woodside, NY 11377. The listed phone number is (646) 397-0005.

What is Queens Medical South 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 Queens Medical South PC was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.