South Queens Medical Group PLLC
NPI 1053667394 · Pediatrics Physician · South Ozone Park, NY
South Queens Medical Group PLLC is a Pediatrics Physician organization in South Ozone Park, NY (NPI 1053667394).
Provider details
- NPI number
- 1053667394
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alfred Abraham, Physician(718) 659-7166
- License
- 107354 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2013-05-06
Frequently asked questions
- What is South Queens Medical Group PLLC's NPI number?
- South Queens Medical Group PLLC's National Provider Identifier (NPI) is 1053667394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Queens Medical Group PLLC?
- South Queens Medical Group PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is South Queens Medical Group PLLC located?
- South Queens Medical Group PLLC's practice location on file with NPPES is 13124 Rockaway Blvd, South Ozone Park, NY 11420-2932.
- What is South Queens Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Queens Medical Group PLLC is (718) 659-7166.
- Who is the authorized official for South Queens Medical Group PLLC?
- The authorized official listed on South Queens Medical Group PLLC's NPPES record is Alfred Abraham, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Queens Medical Group PLLC's NPI active?
- Yes — South Queens Medical Group PLLC's NPI (1053667394) is active in the NPPES registry as of the last update on 2013-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.