Active NPI
Nova Medical PLLC
- Primary Care Clinic/Center
- Flushing, NY
National Provider Identifier
1083007629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NOVA MEDICAL PLLC
- Practice address
- 16707 29TH Ave
Flushing, NY 11358-1501 - Phone
- (718) 353-6283
- NPI assigned
- Mar 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carine Jean-Louis
- Title
- Nurse Practitioner
- Phone
- (646) 318-1069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
16707 29TH Ave
Flushing, NY 11358-1501
Mailing address
16707 29TH Ave
Flushing, NY 11358-1501
Phone (718) 353-6283
National Provider Directory
National Provider Directory- Tax ID family
- Nova Medical PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1982984019
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1952336877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1083007629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16707 29TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581501",
"telephone_number": "718-353-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16707 29TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581501",
"telephone_number": "718-353-6283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "JEAN-LOUIS",
"authorized_official_first_name": "CARINE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "646-318-1069",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.