JUAN A MEDINA MEDICAL OFFICE PC – NPI #1477868032
Clinic/Center

JUAN A MEDINA MEDICAL OFFICE PC is an AHC clinic located in FAR ROCKAWAY, NY. NPPES has assigned the NPI number 1477868032 to JUAN A MEDINA MEDICAL OFFICE PC on August 06, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUAN A MEDINA MEDICAL OFFICE PC below.

The provider associated with this NPI number, 1477868032, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
JUAN A MEDINA MEDICAL OFFICE PC

NPI Number
1477868032
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JUAN A MEDINA MEDICAL OFFICE PC
Primary location
870 CENTRAL AVE
FAR ROCKAWAY, NY 11691-4660
Phone: (718) 327-3458 Fax: (718) 337-2390
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUAN MEDINA
PRESIDENT
Phone: (718) 327-3458
Updated
Identifiers

Identifiers for JUAN A MEDINA MEDICAL OFFICE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02989077
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 NY 245701

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.