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

Dr. John A Prudenti, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902336605

Dr. John A Prudenti, DO is a Critical Care (Intensivists) in Flushing, New York. Graduated from University of New England, College of Osteo Medicine in 2017, 9 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
University of New England, College of Osteo Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 308128 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902336605
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address6535 170th St, Fresh Meadows, NY 11365-1949

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE, PULMONARY DISEASE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2017 (9 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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