North Queens Orthopaedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

213823 Issued in NY

Legal business name

NORTH QUEENS ORTHOPAEDICS PC

Practice address

5650 Francis Lewis Blvd
Oakland Gardens, NY 11364

Phone

(718) 279-8107

Fax

(718) 279-8101

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Y Shim, MDNPI 1285640730

Title

Pres

Phone

(718) 279-8107

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Y Shim, M.D.

  • Specialist
  • Oakland Gardens, NY
  • NPI 1285640730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093837270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "718-279-8107",
            "fax_number": "718-279-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 FRANCIS LEWIS BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "718-279-8107",
            "fax_number": "718-279-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH QUEENS ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-279-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "213823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Orthopaedic Surgery Physician in New York

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