Queens Psychiatric & Medical Care P.C. - Medicare Mental Health Clinic in Rego Park, NY

Queens Psychiatric & Medical Care P.C. is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Rego Park, New York. The current practice location for Queens Psychiatric & Medical Care P.C. is 9520 63rd Rd, Suite J, Rego Park, New York. For appointments, you can reach them via phone at (718) 459-1225. The mailing address for Queens Psychiatric & Medical Care P.C. is 9520 63rd Rd, Suite J, Rego Park, New York and phone number is (718) 459-1225.

Queens Psychiatric & Medical Care P.C. is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1497119846. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 459-1225.

Contact Information

Queens Psychiatric & Medical Care P.C.
9520 63rd Rd
Suite J
Rego Park
NY 11374-1160
(718) 459-1225
(718) 459-5805

Map and Direction


Mental Health Clinic Profile

Full NameQueens Psychiatric & Medical Care P.C.
SpecialityPsychiatry & Neurology
Location9520 63rd Rd, Rego Park, New York
Authorized Official Name and PositionRaymond Tam (PRESIDENT)
Authorized Official Contact7184591225
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Queens Psychiatric & Medical Care P.C.
9520 63rd Rd
Suite J
Rego Park
NY 11374-1160

Ph: (718) 459-1225
Queens Psychiatric & Medical Care P.C.
9520 63rd Rd
Suite J
Rego Park
NY 11374-1160

Ph: (718) 459-1225

NPI Details:

NPI Number1497119846
Provider Enumeration Date04/12/2016
Last Update Date04/12/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0244521714
Medicare Enrollment IDO20160614001814

Medical Identifiers

Medical identifiers for Queens Psychiatric & Medical Care P.C. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497119846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry ()Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Queens Psychiatric & Medical Care P.C. acts as a billing entity for following providers:
Provider NameLudmila Davidov
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457311987
PECOS PAC ID: 1355335027
Enrollment ID: I20040414000681
Provider NameSamuel E Samalin
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1255433082
PECOS PAC ID: 3870592744
Enrollment ID: I20080811000528
Provider NameJoseph E Charles
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245309624
PECOS PAC ID: 2769376896
Enrollment ID: I20101115000431
Provider NameBruce D Schweiger
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407958481
PECOS PAC ID: 3971639113
Enrollment ID: I20110310000099
Provider NameJustina a Momah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336372309
PECOS PAC ID: 0446490635
Enrollment ID: I20130711000604
Provider NameJiji George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548516867
PECOS PAC ID: 8628208634
Enrollment ID: I20140312001476
Provider NameErica Malloy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053685206
PECOS PAC ID: 9830320084
Enrollment ID: I20140401001042
Provider NameNagmo Fatakhova
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821018359
PECOS PAC ID: 9234220310
Enrollment ID: I20151005001343
Provider NameSeeta Ganpat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679996375
PECOS PAC ID: 9931490646
Enrollment ID: I20160627001697
Provider NameBryan J Burroughs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457784647
PECOS PAC ID: 7517230006
Enrollment ID: I20170905002470
Provider NameLakshmi Nair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720588742
PECOS PAC ID: 2769731819
Enrollment ID: I20180822002127
Provider NameHilma L Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245760503
PECOS PAC ID: 0547594822
Enrollment ID: I20190619003041
Provider NameEricka Deadwyler-gourgue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689154130
PECOS PAC ID: 7618309964
Enrollment ID: I20191107001837
Provider NameHenrietta Oby Okpala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164414512
PECOS PAC ID: 9436389665
Enrollment ID: I20200212001630
Provider NameShenique Ranger- Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942841200
PECOS PAC ID: 1355771098
Enrollment ID: I20200421003146
Provider NameLashandra Saulsberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114565538
PECOS PAC ID: 9830528405
Enrollment ID: I20200506001290
Provider NameFelicia a Hassan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154767499
PECOS PAC ID: 4981023652
Enrollment ID: I20200929003013
Provider NameAngela Persaud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154078970
PECOS PAC ID: 5294117875
Enrollment ID: I20220728002276
Provider NameCaroline Larosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114635786
PECOS PAC ID: 6103299110
Enrollment ID: I20230222001033
Provider NameLaurine Vanlerberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295481877
PECOS PAC ID: 3476921131
Enrollment ID: I20250219003754
Provider NameJane Ewuzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194480582
PECOS PAC ID: 8022489715
Enrollment ID: I20251114001716
Provider NameBeatrice Boham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689330524
PECOS PAC ID: 4486197027
Enrollment ID: I20260223000051
Provider NameSmart Nwachukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053014159
PECOS PAC ID: 7719468958
Enrollment ID: I20260225002550

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.