112 Gvr Medical, PC
NPI 1649315771 · Family Medicine Physician · Forest Hills, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
112 Gvr Medical, PC is a Family Medicine Physician organization in Forest Hills, NY (NPI 1649315771).
Provider details
- NPI number
- 1649315771
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ida Tetro, Owner(718) 263-0200
- License
- 220405 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-02-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is 112 Gvr Medical, PC's NPI number?
- 112 Gvr Medical, PC's National Provider Identifier (NPI) is 1649315771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 112 Gvr Medical, PC?
- 112 Gvr Medical, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 112 Gvr Medical, PC located?
- 112 Gvr Medical, PC's practice location on file with NPPES is 6960 108th St, Forest Hills, NY 11375-4323.
- What is 112 Gvr Medical, PC's phone number?
- The practice phone number listed in the NPPES registry for 112 Gvr Medical, PC is (718) 263-0200.
- Does 112 Gvr Medical, PC accept Medicare?
- 112 Gvr Medical, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 112 Gvr Medical, PC?
- The authorized official listed on 112 Gvr Medical, PC's NPPES record is Ida Tetro, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 112 Gvr Medical, PC's NPI active?
- Yes — 112 Gvr Medical, PC's NPI (1649315771) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.