PREMIUM MEDICAL OF NY,PC
NPI 1972869675
Internal Medicine - Nephrology in Flushing, NY

Q: What is Premium Medical Of Ny,pc's NPI number?

The NPI number for Premium Medical Of Ny,pc is 1972869675. It was assigned to this organization in the NPPES registry on April 6, 2012.

Q: What is Premium Medical Of Ny,pc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since April 06, 2012

14709 ELM AVE, SUITE B1, FLUSHING, NY 11355(718) 445-1223(718) 445-1539 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Premium Medical Of Ny,pc NPPES

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

PREMIUM MEDICAL OF NY,PC (NPI 1972869675) is a healthcare organization registered as a nephrology in Flushing, New York and active in the NPI registry since April 2012. The organization lists Christopher Georgiou, President, as its authorized official.

NPPES Registry Identity

NPI1972869675

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePREMIUM MEDICAL OF NY,PC

Location Address14709 ELM AVE, SUITE B1Flushing, NY 11355-1705

Mailing Address14709 Elm Ave, Suite B1Flushing, NY 11355-1705 · (718) 445-1223 · Fax (718) 445-1539

Phone(718) 445-1223

Fax(718) 445-1539

Organization SubpartNo

Authorized OfficialChristopher GeorgiouPresident · (718) 445-1223

Enumeration DateApril 6, 2012

✔ NPI 1972869675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 193788

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 193788 (NY)

14709 ELM AVE, Flushing, NY 11355

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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

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 Premium Medical Of Ny,pc's NPI number?

The NPI number for Premium Medical Of Ny,pc is 1972869675. It was assigned to this organization in the NPPES registry on April 6, 2012.

Where is Premium Medical Of Ny,pc located?

Premium Medical Of Ny,pc is located at 14709 Elm Ave Suite B1, Flushing, NY 11355. The listed phone number is (718) 445-1223.

What is Premium Medical Of Ny,pc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Premium Medical Of Ny,pc was last updated on April 6, 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.