Queens Medical Office, P.c. - Medicare Primary Care in Elmhurst, NY

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Queens Medical Office, P.c. is a medicare enrolled primary clinic (Internal Medicine) in Elmhurst, New York. The current practice location for Queens Medical Office, P.c. is 4046 74th St, Elmhurst, New York. For appointments, you can reach them via phone at (718) 458-1515. The mailing address for Queens Medical Office, P.c. is 4046 74th St, Elmhurst, New York and phone number is (718) 458-1515.

Queens Medical Office, P.c. is licensed to practice in New York (license number 187566). The clinic also participates in the medicare program and its NPI number is 1922017789. 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) 458-1515.

Contact Information

Queens Medical Office, P.c.
4046 74th St
Elmhurst
NY 11373-5602
(718) 458-1515
(718) 458-0397

Map and Direction


Primary Care Clinic Profile

Full NameQueens Medical Office, P.c.
SpecialityInternal Medicine
Location4046 74th St, Elmhurst, New York
Authorized Official Name and PositionAlberto Rozo (OWNER)
Authorized Official Contact7184581515
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Queens Medical Office, P.c.
4046 74th St
Elmhurst
NY 11373-5602

Ph: (718) 458-1515		Queens Medical Office, P.c.
4046 74th St
Elmhurst
NY 11373-5602

Ph: (718) 458-1515

NPI Details:

NPI Number1922017789
Provider Enumeration Date08/07/2006
Last Update Date09/24/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8224033535
Medicare Enrollment IDO20060920000215

Medical Identifiers

Medical identifiers for Queens Medical Office, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922017789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 209191 (New York)Secondary
207Q00000XFamily Medicine 177471 (New York)Secondary
207Q00000XFamily Medicine 149657 (New York)Secondary
207Q00000XFamily Medicine 261999 (New York)Secondary
207R00000XInternal Medicine 162464 (New York)Secondary
207R00000XInternal Medicine 167446 (New York)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 187566 (New York)Secondary
363AM0700XPhysician Assistant - Medical 008399 (New York)Secondary
363AM0700XPhysician Assistant - Medical 013504 (New York)Secondary
207R00000XInternal Medicine 187566 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Queens Medical Office, P.c. acts as a billing entity for following providers:
Provider NameMarian David
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1619073046
PECOS PAC ID: 7810884863
Enrollment ID: I20040304000726
Provider NameAlfredo Castillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558357970
PECOS PAC ID: 0143115444
Enrollment ID: I20040319000084
Provider NameMeenu Gupta
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184664179
PECOS PAC ID: 1153391396
Enrollment ID: I20040727000718
Provider NameGustavo R Melamedoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558374033
PECOS PAC ID: 3072527167
Enrollment ID: I20060127000326
Provider NameAlbert Rozo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295796464
PECOS PAC ID: 3779478649
Enrollment ID: I20070723000823
Provider NameFreya Marone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649386145
PECOS PAC ID: 2466597372
Enrollment ID: I20100303000646
Provider NameTiffany M. Guerrero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457850893
PECOS PAC ID: 1759615685
Enrollment ID: I20190627000482
Provider NameLaura Patricia Kabbabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376134478
PECOS PAC ID: 5395143937
Enrollment ID: I20211012001146
Provider NameYalixsa Then
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689247207
PECOS PAC ID: 3678965761
Enrollment ID: I20220124000205
Provider NameCarlos Rosado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598145245
PECOS PAC ID: 8921486523
Enrollment ID: I20220610001310
Provider NameKhurram Surani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922627447
PECOS PAC ID: 5092166884
Enrollment ID: I20240105001255
Provider NameJuan Carlos Dominguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225887524
PECOS PAC ID: 5698218584
Enrollment ID: I20240620000824
Provider NameDiana Na Cobos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730946716
PECOS PAC ID: 4183167091
Enrollment ID: I20240620001508

Reviews and Comments


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Phone: 718-334-4900    Fax: 718-334-1026

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.