Organization Active NPI

Flushing Neurology Services, P.C.

  • Neurology Physician
  • Flushing, NY
National Provider Identifier
1053346049
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A207864-1 Issued in NY
Legal business name
FLUSHING NEUROLOGY SERVICES, P.C.
Practice address
13620 38TH Ave Ste 6G
Flushing, NY 11354-4263
Phone
(718) 888-0968
Fax
(718) 888-1506
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Ms. June Yin, MDNPI 1154353332
Title
Doctor
Phone
(718) 888-0968

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A207864-1 NY Primary

Addresses

Primary practice location

13620 38TH Ave Ste 6G
Flushing, NY 11354-4263

Mailing address

13620 38TH Ave Ste 6G
Flushing, NY 11354-4263
Phone (718) 888-0968

Other identifiers 1

IdentifierTypeStateIssuer
01974836MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001649 NY Part B Supplier - Clinic/Group Practice 8527047828 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Ste 6G
Flushing, NY 11354
Phone (718) 888-0968

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1053346049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE STE 6G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544263",
            "telephone_number": "718-888-0968",
            "fax_number": "718-888-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE STE 6G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544263",
            "telephone_number": "718-888-0968",
            "fax_number": "718-888-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING NEUROLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-888-0968",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "A207864-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01974836",
            "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 Sep 11, 2015; 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.