| Hillside Primary Care, Pllc | |
|
16403 Hillside Ave Jamaica NY 11432-4140 | |
| (718) 554-8072 | |
| (718) 554-8539 |
| Full Name | Hillside Primary Care, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16403 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Loveena Singh (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9173450151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Primary Care, Pllc 16403 Hillside Ave # 1 Jamaica NY 11432-4140 Ph: (718) 554-8072 | Hillside Primary Care, Pllc 16403 Hillside Ave Jamaica NY 11432-4140 Ph: (718) 554-8072 |
| NPI Number | 1699226647 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 0749561702 |
|---|---|
| Medicare Enrollment ID | O20170105000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699226647 | NPI | - | NPPES |
| 277919 | Other | NY | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Laali A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396974119 PECOS PAC ID: 8820233349 Enrollment ID: I20130516000465 |
| Provider Name | Vibhor Makkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649508680 PECOS PAC ID: 9537399597 Enrollment ID: I20140313001197 |
| Provider Name | Ajay R Balladin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134541733 PECOS PAC ID: 1456570829 Enrollment ID: I20140917000453 |
| Provider Name | Monica Newborn-murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548660806 PECOS PAC ID: 3072838259 Enrollment ID: I20150210001668 |
| Provider Name | Nadia Irshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548530272 PECOS PAC ID: 5698064608 Enrollment ID: I20160516000196 |
| Provider Name | Awadhesh K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851387971 PECOS PAC ID: 2062589922 Enrollment ID: I20180411001977 |
| Provider Name | Varinder Jindal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558092221 PECOS PAC ID: 7719348150 Enrollment ID: I20230801002114 |
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