OrganizationActive
Medical State of Queens
NPI 1184034183 · Legal Medicine · Rego Park, NY
Provider details
- NPI number
- 1184034183
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Nikolai Lagoduke, Dr(718) 554-1150
- License
- 233906 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
8544 66th Rd
Rego Park, NY 11374-5212
Phone: (718) 565-6050
Street-level locationGet directions
Mailing address
8544 66th Rd
Rego Park, NY 11374-5212
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.