Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Queens Medical Group PLLC

Organization Family Medicine Physician · NPI 1053667394

South Queens Medical Group PLLC is a Family Medicine Physician in South Ozone Park, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13124 Rockaway Blvd
South Ozone Park, NY 11420-2932
Phone: (718) 659-7166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 231106 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 107354 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 118770 (NY)
Surgery Physician Taxonomy 208600000X · Licence 153485 (NY)

Record details

NPI number1053667394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred Abraham — Physician · (718) 659-7166
NPI enumeratedJuly 24, 2012
Last updated in NPPESMay 6, 2013
Mailing address13124 Rockaway Blvd, South Ozone Park, NY 11420-2932

Other providers in South Ozone Park