Active NPI
Friendly Neighbor Medical of Flushing PLLC
- Family Medicine Physician
- Flushing, NY
National Provider Identifier
1003709643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRIENDLY NEIGHBOR MEDICAL OF FLUSHING PLLC
- Practice address
- 4123 Union St FL 2
Flushing, NY 11355-2452 - Phone
- (718) 407-9877
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Yuan, DO
- Title
- Owner
- Phone
- (917) 238-1503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4123 Union St FL 2
Flushing, NY 11355-2452
Mailing address
4123 Union St FL 2
Flushing, NY 11355-2452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4123 Union St
Fl 2
Flushing, NY 11355
Phone (917) 238-1503
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1003709643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 UNION ST FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 UNION ST FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552452",
"telephone_number": "718-407-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY NEIGHBOR MEDICAL OF FLUSHING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "YUAN",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-238-1503",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.