154 NORTHERN MEDICAL PRACTICE


Address: 15408 Northern Blvd, Suite 2k, Flushing, NY 11354-5040
Phone: 7184450200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 15408 NORTHERN BLVD
SUITE 2K
City FLUSHING
State NY
Zip Code 11354-5040

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FLUSHING
Zip Code 11354

Improve Information

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Dataset Information

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.

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