Prestige Pediatric Care P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

244317 Issued in NY

Legal business name

PRESTIGE PEDIATRIC CARE P.C.

Practice address

14037 Cherry Ave
Apt 1a
Flushing, NY 11355-7818

Phone

(718) 445-5437

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yan Jin, MD

Title

Owner

Phone

(718) 445-5437

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1043597842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SARINA DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14037 CHERRY AVE",
            "address_2": "APT 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113557818",
            "telephone_number": "718-445-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PEDIATRIC CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-445-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Pharmacy Inc
• Angel G Premkumar, MD
• Lewis Prescott, LCSW
• Prescription Headquarters Flushing Plaza Inc
• Prestige Medical Supplies LLC
• Pretty Feet Podiatry, P.C.
• Pretty Smile Co.
• Eileen Pribek
• Victoria Pribil
• Jessica Nicole Price-Erickson, M.A., CCC-SLP

• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.