Individual provider Active NPI

Jian Min Guan, NP

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1083308191
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351902 Issued in NY
Practice address
3907 Prince St Ste 4F
Flushing, NY 11354-5308
Phone
(718) 939-3780
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351902 NY Primary

Addresses

Primary practice location

3907 Prince St Ste 4F
Flushing, NY 11354-5308

Mailing address

15 Ross LN
East Norwich, NY 11732-1234
Phone (646) 469-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211002232 NY Practitioner - Nurse Practitioner 3678922069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

3907 Prince St
Suite 4F
Flushing, NY 11354-5308
Phone (718) 939-3780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
351902NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Internal Medicine CurrentSince Oct 22, 2023 Accepting new patients

Locations

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

3907 Prince St
Ste 4F
Flushing, NY 11354
Phone (718) 939-3780

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1083308191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROSS LN",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321234",
            "telephone_number": "646-469-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST STE 4F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545308",
            "telephone_number": "718-939-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "JIAN MIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.