Organization Active NPI

Jin Family Medical PLLC

  • Primary Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1073045878
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
263033 Issued in NY
Legal business name
JIN FAMILY MEDICAL PLLC
Practice address
13107 40TH Rd
Unite E18
Flushing, NY 11354-5116
Phone
(917) 513-8656
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Jin Zhang, D.O
Title
Physician
Phone
(917) 513-8656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 263033 NY Primary

Addresses

Primary practice location

13107 40TH Rd
Unite E18
Flushing, NY 11354-5116

Mailing address

13107 40TH Rd
Unite E18
Flushing, NY 11354-5116
Phone (917) 513-8656

National Provider Directory

National Provider Directory

Locations

13107 40th Rd
Ste E18
Flushing, NY 11354
Phone (718) 353-8050

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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1073045878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 40TH RD",
            "address_2": "UNITE E18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "telephone_number": "917-513-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 40TH RD",
            "address_2": "UNITE E18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "telephone_number": "917-513-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-513-8656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "263033",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 30, 2017; 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.