Long Island Specialist Pediatrics PC

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

LONG ISLAND SPECIALIST PEDIATRICS PC

Practice address

13304 41St Ave # 1a
Flushing, NY 11355-3629

Phone

(718) 353-7265

Fax

(718) 353-7267

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Yiping Geng, MDNPI 1114906690

Title

President

Phone

(718) 353-7265

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yiping Geng, M.D., PH.D.

  • Clinical Genetics (M.D.) Physician
  • Flushing, NY
  • NPI 1114906690
  NPD (past) Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053517557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE # 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-353-7265",
            "fax_number": "718-353-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 41ST AVE # 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553629",
            "telephone_number": "718-353-7265",
            "fax_number": "718-353-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND SPECIALIST PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GENG",
        "authorized_official_first_name": "YIPING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-353-7265",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02600186",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Genetics (M.D.) Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Genetics (M.D.) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.