9317 Medical Office PC
NPI 1871707372ActiveOrganization· Internal Medicine· Jackson Heights, NY
Internal Medicine in Jackson Heights, New York, registered in NPPES in May 2007. The authorized official on file is Sandra J. Marrero, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1871707372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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