154 NORTHERN MEDICAL PRACTICE (NPI# 1710311691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710311691 |
| Entity Type | Organization |
| Organization Name | 154 NORTHERN MEDICAL PRACTICE |
| Practice Address |
15408 Northern Blvd Suite 2k Flushing NY 11354-5040 |
| Practice Telephone | 7184450200 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Authorized Official Name | JOON MO MYUNG (OWNER) |
| Authorized Official Telephone | 7184450200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
15408 NORTHERN BLVD SUITE 2K |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295765378 | Kunil Bae | Internal Medicine | 15408 Northern Blvd, Ste 2i, Flushing, NY 11354-5042 | 2006-07-04 |
| 1003347253 | Jiyoun Song | Registered Nurse | 15408 Northern Blvd, #2k, Flushing, NY 11354-5040 | 2017-03-21 |
| 1982028403 | Yoon Mo Myung Ophthalmology PC | Ophthalmology | 15408 Northern Blvd, Suite1c, Flushing, NY 11354-5040 | 2014-02-05 |
| 1912335803 | Well Life Medical Consulting Pllc | Anesthesiology | 15408 Northern Blvd, Suite 2k, Flushing, NY 11354-5040 | 2013-10-31 |
| 1619271897 | Myung Gastroenterology, P.C. | Internal Medicine | 15408 Northern Blvd, Suite 2k, Flushing, NY 11354-5040 | 2011-01-03 |
| 1356539704 | Helping Hands Pt & Rehab Care, P.C. | Physical Therapist | 15408 Northern Blvd, 2f, Flushing, NY 11354-5040 | 2007-10-11 |
| 1962533190 | Yeontai Jung | Physical Therapist | 15408 Northern Blvd, 2f, Flushing, NY 11354-5040 | 2007-03-08 |
| 1629105754 | Juwan Hong | Physical Therapist | 15408 Northern Blvd, 2f, Flushing, NY 11354-5040 | 2007-02-27 |
| 1265598759 | Joon Mo Myung | Internal Medicine | 15408 Northern Blvd, Suite 2k, Flushing, NY 11354-5040 | 2006-12-29 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1861743601 | Flushing Endoscopy Center, LLC | Clinic/Center | 136-02 Roosevelt Ave, Flushing, NY 11355 | 2012-09-19 |
| 1437576477 | Rkd Medical Pllc | Clinic/Center | 2512 148th St, Flushing, NY 11354-1433 | 2014-03-27 |
| 1326357153 | Queens Crossing Anesthesia Pllc | Clinic/Center | 13620 38th Ave, Suite 5 I, Flushing, NY 11354-4233 | 2010-09-28 |
| 1568771525 | Dalton Medical Services, Pllc | Clinic/Center | 13620 38th Ave, Suite 6f, Flushing, NY 11354-4233 | 2010-09-24 |
| 1770803165 | Queens Crossing Surgery Group Pllc | Clinic/Center | 13620 38th Ave, Suite 7j, Flushing, NY 11354-4233 | 2010-06-08 |
| 1538485149 | Abc Medical Services Pllc | Clinic/Center | 13252 41st Ave # M1, Flushing, NY 11355-5845 | 2010-04-08 |
| 1972749984 | Advance Comprehensive Medical Care, Pllc | Clinic/Center | 13259 41st Rd, Flushing, NY 11355-4257 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| 1598328932 | Endo Group, LLC | Clinic/Center | 240 Jericho Tpke, Syosset, NY 11791-4504 | 2019-04-22 |
| Find all providers with the same taxonomy | ||||
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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.