Fresh Meadows Physician Practice PLLC - Medicare Primary Care in Jamaica, NY

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Fresh Meadows Physician Practice PLLC is a medicare enrolled primary clinic (Internal Medicine) in Jamaica, New York. The current practice location for Fresh Meadows Physician Practice PLLC is 9131 175th St, Jamaica, New York. For appointments, you can reach them via phone at (718) 709-0940. The mailing address for Fresh Meadows Physician Practice PLLC is 6136 170th St Apt M4, Fresh Meadows, New York and phone number is (718) 709-0940.

Fresh Meadows Physician Practice PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1720775083. 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) 709-0940.

Contact Information

Fresh Meadows Physician Practice PLLC
9131 175th St
Jamaica
NY 11432-5517
(718) 709-0940
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameFresh Meadows Physician Practice PLLC
SpecialityInternal Medicine
Location9131 175th St, Jamaica, New York
Authorized Official Name and PositionPeyman E Younesi (OWNER)
Authorized Official Contact7187080940
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fresh Meadows Physician Practice PLLC
6136 170th St Apt M4
Fresh Meadows
NY 11365-1957

Ph: (718) 709-0940		Fresh Meadows Physician Practice PLLC
9131 175th St
Jamaica
NY 11432-5517

Ph: (718) 709-0940

NPI Details:

NPI Number1720775083
Provider Enumeration Date04/18/2023
Last Update Date04/18/2023
Certification Date04/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0941657811
Medicare Enrollment IDO20231114003265

Medical Identifiers

Medical identifiers for Fresh Meadows Physician Practice PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720775083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fresh Meadows Physician Practice PLLC acts as a billing entity for following providers:
Provider NameEmerth L Coburn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477544096
PECOS PAC ID: 8022088806
Enrollment ID: I20040728001712
Provider NameRaul Alberto Ulloa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841330107
PECOS PAC ID: 9436113776
Enrollment ID: I20041116000720
Provider NameAmy J Schwartzman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215910062
PECOS PAC ID: 2769473115
Enrollment ID: I20050812000720
Provider NameJanine M Kramer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205891405
PECOS PAC ID: 4981613486
Enrollment ID: I20060411000610
Provider NameRavindra Kashyap
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639128366
PECOS PAC ID: 4688686264
Enrollment ID: I20060623000060
Provider NameRoseline N Ihim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790979391
PECOS PAC ID: 4183703663
Enrollment ID: I20080825000123
Provider NameGeorges R Ramalanjaona
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1104811785
PECOS PAC ID: 4587688429
Enrollment ID: I20081119000554
Provider NameLisa Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518118694
PECOS PAC ID: 9133272891
Enrollment ID: I20090729000264
Provider NameRozy Nelofar Wani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245295492
PECOS PAC ID: 7113092339
Enrollment ID: I20100503000026
Provider NameFlorence Pua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124105036
PECOS PAC ID: 3971796483
Enrollment ID: I20101015001206
Provider NamePeyman Younesi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891942645
PECOS PAC ID: 0345420790
Enrollment ID: I20110202000565
Provider NameBilqees Abdallah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336440130
PECOS PAC ID: 3870775679
Enrollment ID: I20110316000200
Provider NameSonia Joseph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639451636
PECOS PAC ID: 4789847005
Enrollment ID: I20120524000489
Provider NameSurinder a Pal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538245139
PECOS PAC ID: 5294987624
Enrollment ID: I20121212000217
Provider NameChristina Goldsmith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821377813
PECOS PAC ID: 6709003403
Enrollment ID: I20140804000486
Provider NameCheol Woong Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881086874
PECOS PAC ID: 3971823824
Enrollment ID: I20150518001182
Provider NameCheriee T Mcdonald
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1104153857
PECOS PAC ID: 8527295906
Enrollment ID: I20150724011518
Provider NameGeorgey Easow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083637805
PECOS PAC ID: 6204114572
Enrollment ID: I20161021000609
Provider NameAldo Manuel Navarro Oviedo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235487703
PECOS PAC ID: 8527342013
Enrollment ID: I20170301000241
Provider NameEllis Enabosi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1669866158
PECOS PAC ID: 3274890272
Enrollment ID: I20171129002536
Provider NameNena Olugu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831642172
PECOS PAC ID: 7719263219
Enrollment ID: I20171130000428
Provider NameValentyna Oleksyuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780163790
PECOS PAC ID: 5092068494
Enrollment ID: I20181101002176
Provider NameKendra Leigh Weissberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124514708
PECOS PAC ID: 8820332562
Enrollment ID: I20181206000683
Provider NameRyanna Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285112441
PECOS PAC ID: 3274878301
Enrollment ID: I20181218003386
Provider NamePamela Cornacchia
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1124565858
PECOS PAC ID: 6608934344
Enrollment ID: I20190408002016
Provider NameMohammed Hasan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306232046
PECOS PAC ID: 9830521582
Enrollment ID: I20191118002498
Provider NameJamika Mack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225595523
PECOS PAC ID: 9032541487
Enrollment ID: I20191122002399
Provider NameMelinda Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649816125
PECOS PAC ID: 9436588415
Enrollment ID: I20200327000178
Provider NameNayale Lafleur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821591603
PECOS PAC ID: 6901227818
Enrollment ID: I20200602000592
Provider NameRajeena a Pillai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104453653
PECOS PAC ID: 5890117659
Enrollment ID: I20200624000834
Provider NameShyan Jagdeo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205459534
PECOS PAC ID: 7810308111
Enrollment ID: I20201117002010
Provider NameMohammadreza Feizi Lighvan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699392894
PECOS PAC ID: 3678985587
Enrollment ID: I20201217003008
Provider NameCrysti Mincey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881231967
PECOS PAC ID: 1850703513
Enrollment ID: I20201222001141
Provider NameArash Arvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982048872
PECOS PAC ID: 5092078907
Enrollment ID: I20210217001340
Provider NamePauline Macri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811272180
PECOS PAC ID: 6204242670
Enrollment ID: I20210309003077
Provider NameCarine R Renois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740894237
PECOS PAC ID: 7113334848
Enrollment ID: I20210325000999
Provider NameCarisa J Thompson-patterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861097644
PECOS PAC ID: 7618378100
Enrollment ID: I20210622000170
Provider NameAmit Mandal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093206567
PECOS PAC ID: 9436547452
Enrollment ID: I20211025002201
Provider NameJennifer Anne Frank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770250607
PECOS PAC ID: 8820483753
Enrollment ID: I20220311000840
Provider NameHasina Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689390007
PECOS PAC ID: 9133597164
Enrollment ID: I20221123001762
Provider NameZohra Moshref
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093339848
PECOS PAC ID: 4486024130
Enrollment ID: I20221221002325
Provider NameOsa C Guobadia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306402268
PECOS PAC ID: 9537560602
Enrollment ID: I20230209002229
Provider NameRyan Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689389868
PECOS PAC ID: 2466416813
Enrollment ID: I20230419001284
Provider NameAndrew Toenniessen
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1518580612
PECOS PAC ID: 0648692186
Enrollment ID: I20230605002139
Provider NameChadwick J Baugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205529567
PECOS PAC ID: 3577924455
Enrollment ID: I20230726000581
Provider NameDavid Alarcon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912491226
PECOS PAC ID: 1153760723
Enrollment ID: I20240415004033
Provider NameAmarachi Abanobi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891532990
PECOS PAC ID: 9931646825
Enrollment ID: I20240809001000
Provider NameZakia Irum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275351090
PECOS PAC ID: 6103357785
Enrollment ID: I20241007003002
Provider NameSamuel Alao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780408625
PECOS PAC ID: 8224563127
Enrollment ID: I20241202002896
Provider NameYassmin Azzam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740097336
PECOS PAC ID: 7315474731
Enrollment ID: I20241226000846
Provider NameBobbie A. Newsome
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922791326
PECOS PAC ID: 1658809561
Enrollment ID: I20250106002379
Provider NameShamima Akter Nila
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508677030
PECOS PAC ID: 5799215935
Enrollment ID: I20250204000841
Provider NameAlexander Fauci
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174103790
PECOS PAC ID: 0446780209
Enrollment ID: I20250207002791
Provider NameShilpa Arcot
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275280919
PECOS PAC ID: 2567988504
Enrollment ID: I20250502000514
Provider NamePavan Bolla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790670834
PECOS PAC ID: 8921513169
Enrollment ID: I20250716000665
Provider NameUsman Bhatti
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1154212892
PECOS PAC ID: 9830605609
Enrollment ID: I20250718002271
Provider NameAnahit Mkrtchyan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063393999
PECOS PAC ID: 5890299291
Enrollment ID: I20250918002856
Provider NameAhmad Fazal Nusrat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891934212
PECOS PAC ID: 9537449939
Enrollment ID: I20250923002858
Provider NameEbrima Bah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457240830
PECOS PAC ID: 0547758369
Enrollment ID: I20251023001926
Provider NameSwapneel Tailor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700753076
PECOS PAC ID: 1557851300
Enrollment ID: I20251110000519
Provider NameOlubunmi Abigail Olojede
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023981628
PECOS PAC ID: 0941792295
Enrollment ID: I20251124002594
Provider NameMark Matus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780388165
PECOS PAC ID: 8123560307
Enrollment ID: I20251219002441
Provider NameMarike Van Niekerk
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184573651
PECOS PAC ID: 0749760346
Enrollment ID: I20260213000784
Provider NameOlolade Omitogun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225978703
PECOS PAC ID: 1052886843
Enrollment ID: I20260409000952

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.