OrganizationActive
Healthy Medical Care
NPI 1962431841 · Internal Medicine Physician · Rego Park, NY
Provider details
- NPI number
- 1962431841
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nikolai Lagoduke, Medical Director(718) 897-0300
- License
- 233906 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
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
9876 Queens Blvd
Suite 1k
Rego Park, NY 11374-4356
Phone: (718) 897-0300
Fax: (718) 897-3330
Street-level locationGet directions
Mailing address
9876 Queens Blvd
Rego Park, NY 11374-4356
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 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.