Individual provider Active NPI

Chunying Shao, NP

  • Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1013746668
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
311887 Issued in NY
Practice address
3808 Union St Ste 6B
Flushing, NY 11354-5672
Phone
(718) 888-1125
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 311887 NY Primary

Addresses

Primary practice location

3808 Union St Ste 6B
Flushing, NY 11354-5672

Mailing address

9860 62ND Rd BSMT
Rego Park, NY 11374-1455
Phone (909) 572-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120001095 NY Practitioner - Nurse Practitioner 3375035157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3808 Union St
Flushing, NY 11354-5543

3808 Union St
Suite 5B
Flushing, NY 11354-5671

9860 62ND Rd
Rego Park, NY 11374-1455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cao & Associates Medicine PLLC CurrentSince Sep 12, 2025 Accepting new patients
Nutriall Wellness Center LLC PastSince Aug 4, 2024 Accepting new patients

Locations

3808 Union St
Ste 6B
Flushing, NY 11354
Phone (618) 559-6549

3808 Union St
Ste 5B
Flushing, NY 11354
Phone (718) 888-1125

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJIBD/Endpoint/CCJIBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1013746668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 62ND RD BSMT",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741455",
            "telephone_number": "909-572-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545672",
            "telephone_number": "718-888-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "CHUNYING",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "311887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.