MEDEA MEDICAL PC
NPI 1932699709
Family Medicine - Adolescent Medicine in Oakland Gdns, NY

Active since May 16, 2018
6829 SPRINGFIELD BLVD, OAKLAND GDNS, NY 11364(718) 225-3001(718) 225-3002 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medea Medical Pc NPPES

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

MEDEA MEDICAL PC (NPI 1932699709) is a healthcare organization registered as an adolescent medicine in Oakland Gdns, New York and active in the NPI registry since May 2018. The organization lists Omari Chubinidze, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1932699709
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameMEDEA MEDICAL PC
Location Address6829 SPRINGFIELD BLVDOakland Gdns, NY 11364-2632
Mailing Address6829 Springfield BlvdOakland Gdns, NY 11364-2632 · (718) 225-3001 · Fax (718) 225-3002
Fax(718) 225-3002
Organization SubpartNo
Authorized OfficialOmari ChubinidzeMedical Director · (718) 225-3001
Enumeration DateMay 16, 2018
NPI 1932699709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License Licensed in NY · 285269
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
6829 SPRINGFIELD BLVD, Oakland Gdns, NY 11364

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Specialist
6829 SPRINGFIELD BLVD
BAYSIDE, NY 11364
Radiology (Diagnostic Radiology)
6829 SPRINGFIELD BLVD
OAKLAND GARDENS, NY 11364
Radiology (Diagnostic Neuroimaging)
6829 SPRINGFIELD BLVD
OAKLAND GARDENS, NY 11364
Radiology (Diagnostic Radiology)
6829 SPRINGFIELD BLVD
OAKLAND GARDENS, NY 11364

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 Medea Medical PC's NPI number?

The NPI number for Medea Medical PC is 1932699709. It was assigned to this organization in the NPPES registry on May 16, 2018.

Where is Medea Medical PC located?

Medea Medical PC is located at 6829 Springfield Blvd, Oakland Gdns, NY 11364. The listed phone number is (718) 225-3001.

What is Medea Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Medea Medical PC was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.