SI M BONG (NPI# 1366077968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366077968 |
Entity Type | Individual |
Full Name | SI M BONG |
Practice Address |
3916 Prince St Ste 251 Flushing NY 11354-5367 |
Mailing Address |
13811 63rd Ave Flushing NY 11367-1105 |
Practice Telephone | 7188863877 |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 024591 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3916 PRINCE ST STE 251 |
City | FLUSHING |
State | NY |
Zip Code | 11354-5367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
Find all providers in zip 11354 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225642598 | Sarah Hyunji Bae | Physician Assistant | 4003 164th St, Flushing, NY 11358-2750 | 2020-09-03 |
1427668961 | Madina Baki | Physician Assistant | 14719 Delaware Ave, Flushing, NY 11355-1703 | 2020-08-07 |
1255940961 | Aliza Ginzberg | Physician Assistant | 13824 77th Ave Apt A, Flushing, NY 11367-2846 | 2020-07-28 |
1407475189 | Shivani Daryani | Physician Assistant | 4323 Colden St Apt 22a, Flushing, NY 11355-5929 | 2020-04-13 |
1477183978 | Samantha Lau | Physician Assistant | 13640 39th Ave Ste 6gb, Flushing, NY 11354-5536 | 2020-01-23 |
1982249959 | Chana Devora Levine | Physician Assistant | 14449 72nd Rd, Flushing, NY 11367-2405 | 2019-11-13 |
1629612734 | Shiran Ibragimov | Physician Assistant | 15064 77th Rd, Flushing, NY 11367-3423 | 2019-10-31 |
1932741402 | Tara Sung | Physician Assistant | 14446 26th Ave Apt 2, Flushing, NY 11354-1327 | 2019-10-16 |
1982253084 | Michelle Yunrui Luo | Physician Assistant | 13347 Sanford Ave Ste 1d, Flushing, NY 11355-5816 | 2019-09-10 |
1144796335 | Quanjian Yan | Physician Assistant | 6709 Bell Blvd, Flushing, NY 11364-2525 | 2018-10-16 |
Find all providers in FLUSHING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.