MEDICARE: THOMAS IZQUIEANO PHYSICIAN P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568313153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS IZQUIEANO PHYSICIAN P.C.

Provider Business Mailing Address
First Line	:	37-57 91 ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	718-779-7697
Fax Number	:	718-457-2402

Provider Business Practice Location Address
First Line	:	37-57 91 ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372
Country	:	US
Telephone Number	:	718-779-7697
Fax Number	:	718-457-2402

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS J IZQUIEANO
Credential	:	M.D.
Telephone Number	:	718-779-7697

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1427668318 — JACKSON HEIGHTS ALLERGY& ASTHMA PC
Practice Location Address:

9317 ROOSEVELT AVE FL 2
JACKSON HEIGHTS, NY
11372-7943

Practice Phone: 718-899-9009
Practice Fax: 718-899-9002

1962285726 — DIANA VANESSA QUINTERO DPT
Practice Location Address:

7206 NORTHERN BLVD FL 2
JACKSON HEIGHTS, NY
11372-1049

Practice Phone: 844-734-2201
Practice Fax: 718-533-1772

1710839923 — PEDRO L SANCHEZ
Practice Location Address:

3440 93RD ST
JACKSON HEIGHTS, NY
11372-3744

Practice Phone: 917-756-2926
Practice Fax:

1407292337 — OLGA I IOF LMHC
Practice Location Address:

7409 37TH AVE , 408
JACKSON HEIGHTS, NY
11372-6300

Practice Phone: 718-779-2273
Practice Fax: 718-779-2225

1477405504 — SHANIA CAMERON M PERALES PT
Practice Location Address:

9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY
11372-7995

Practice Phone: 718-433-9293
Practice Fax:

1710602156 — D'ANGELEZE ALONZO VARGAS MS CFY-SLP, TSSLD
Practice Location Address:

7702 37TH AVE
JACKSON HEIGHTS, NY
11372-6628

Practice Phone: 718-424-7700
Practice Fax:

Directions to “THOMAS IZQUIEANO PHYSICIAN P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.