Organization Active NPI

Syosset Medical Service, PLLC

  • Primary Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1033468988
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
253919 Issued in NY
Legal business name
SYOSSET MEDICAL SERVICE, PLLC
Practice address
3712 Prince St Ste 6B
Flushing, NY 11354-4651
Phone
(718) 886-6625
Fax
(718) 886-6624
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Dr. Lingpin Hung, M.D,NPI 1821250036
Title
President
Phone
(718) 913-9826

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 253919 NY Primary

Addresses

Primary practice location

3712 Prince St Ste 6B
Flushing, NY 11354-4651

Mailing address

75 Coachman PL W
Syosset, NY 11791-3048
Phone (718) 886-6625

Other identifiers 1

IdentifierTypeStateIssuer
03495278MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000270 NY Part B Supplier - Clinic/Group Practice 5698924520 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14318 Sanford Ave
#1
Flushing, NY 11355
Phone (718) 886-6625

3712 Prince St
Ste 6B
Flushing, NY 11354
Phone (718) 886-6625

4265 Kissena Blvd
Ste L3
Flushing, NY 11355
Phone (718) 913-9826

Practitioners & affiliated clinicians

Practitioners 3

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1033468988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COACHMAN PL W",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913048",
            "telephone_number": "718-886-6625",
            "fax_number": "718-886-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544651",
            "telephone_number": "718-886-6625",
            "fax_number": "718-886-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYOSSET MEDICAL SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "HUNG",
        "authorized_official_first_name": "LINGPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-913-9826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "253919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03495278",
            "state": "NY"
        }
    ],
    "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 Nov 15, 2021; 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.

Verify at the official NPI Registry.