Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Queens Medical Group PLLC

Organization Family Medicine Physician · NPI 1053667394

South Queens Medical Group PLLC provides Family Medicine Physician services in South Ozone Park, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13124 Rockaway Blvd
South Ozone Park, NY 11420-2932 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 659-7166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 231106 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 107354 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 118770 (NY)
Surgery Physician Taxonomy 208600000X · Licence 153485 (NY)

Record details

NPI number1053667394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred Abraham — Physician · (718) 659-7166
NPI enumeratedJuly 24, 2012
Last updated in NPPESMay 6, 2013
Mailing address13124 Rockaway Blvd, South Ozone Park, NY 11420-2932

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