NPIMap

Organization Active NPI

New Island Medical Practice, P.C.

  • Psychiatry Physician
  • Flushing, NY
National Provider Identifier
1073935458
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW ISLAND MEDICAL PRACTICE, P.C.
Practice address
13107 40TH Rd Ste E22
Flushing, NY 11354-5270
Phone
(718) 939-3800
Fax
(718) 939-3899
NPI assigned
Jan 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Jianping Zhang, MDNPI 1528233293
Title
Physician Owner
Phone
(516) 996-9010

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
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13107 40TH Rd Ste E22
Flushing, NY 11354-5270

Mailing address

87 Arleigh Rd
Great Neck, NY 11021-1442
Phone (516) 996-9010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140401001606 NY Part B Supplier - Clinic/Group Practice 4789815945 Receives reassigned benefits from 5 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13107 40th Rd
Ste E22
Flushing, NY 11354
Phone (718) 939-3800

Practitioners & affiliated clinicians

Practitioners 5

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1073935458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ARLEIGH RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211442",
            "telephone_number": "516-996-9010",
            "fax_number": "516-570-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 40TH RD STE E22",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545270",
            "telephone_number": "718-939-3800",
            "fax_number": "718-939-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ISLAND MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "JIANPING",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "516-996-9010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Jan 22, 2020; 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.