| Rego Park Medical Associates | |
|
5910 Junction Blvd Elmhurst NY 11373-5156 | |
| (718) 592-3200 | |
| (718) 592-3844 |
| Full Name | Rego Park Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 5910 Junction Blvd, Elmhurst, New York |
| Authorized Official Name and Position | Audrey M Weissman (OWNER / PRESIDENT) |
| Authorized Official Contact | 7185923200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rego Park Medical Associates 5910 Junction Blvd Elmhurst NY 11373-5156 Ph: (718) 592-3200 | Rego Park Medical Associates 5910 Junction Blvd Elmhurst NY 11373-5156 Ph: (718) 592-3200 |
| NPI Number | 1639371586 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 02/06/2023 |
| Medicare PECOS PAC ID | 6002803533 |
|---|---|
| Medicare Enrollment ID | O20040427001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639371586 | NPI | - | NPPES |
| 00574167 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 169881 (New York) | Primary |
| Provider Name | Mark Zombek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073583928 PECOS PAC ID: 5799742060 Enrollment ID: I20041217000786 |
| Provider Name | Barry J Bellovin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578642229 PECOS PAC ID: 5799784161 Enrollment ID: I20061212000534 |
| Provider Name | Russell Jay Laudon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821084351 PECOS PAC ID: 3779776125 Enrollment ID: I20101019000333 |
| Provider Name | Audrey M Weissman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780670919 PECOS PAC ID: 3173705233 Enrollment ID: I20110310000378 |
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