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

Taj Medical PLLC

Organization Emergency Medicine Physician · NPI 1477180479

Taj Medical PLLC is an Emergency Medicine Physician in South Ozone Park, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10925 111th St
South Ozone Park, NY 11420-1015
Phone: (347) 385-6059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1477180479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tajdhary Tiwari — Owner · (347) 385-6059
Other names Taj Medical Pllc
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address10923 111th St, South Ozone Park, NY 11420-1015