BOOTH MEDICAL ASSOCIATES PC
NPI 1912996703
Internal Medicine - Hepatology in Flushing, NY

Active since October 14, 2005
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2236 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Booth Medical Associates Pc NPPES

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

BOOTH MEDICAL ASSOCIATES PC (NPI 1912996703) is a healthcare organization registered as a hepatology in Flushing, New York and active in the NPI registry since October 2005. The organization lists Terrence Brady, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912996703
Entity TypeOrganization
Primary Taxonomy207RI0008X
Legal Business NameBOOTH MEDICAL ASSOCIATES PC
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing AddressPo Box 518Williston Park, NY 11596-0518 · (516) 827-9845 · Fax (516) 827-9871
Organization SubpartNo
Authorized OfficialTerrence BradyAdministrator · (516) 827-9845
Enumeration DateOctober 14, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1912996703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0008X
Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Other Identifiers 2

Medicaid00923859NY
OtherW9411NY · Bcbs

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

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Booth Medical Associates PC's NPI number?

The NPI number for Booth Medical Associates PC is 1912996703. It was assigned to this organization in the NPPES registry on October 14, 2005.

Where is Booth Medical Associates PC located?

Booth Medical Associates PC is located at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2236.

What is Booth Medical Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

When was this NPI record last updated?

The NPPES record for Booth Medical Associates PC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.