Individual provider Active NPI

Raymond Nian

  • Physician Assistant
  • Flushing, NY
National Provider Identifier
1104631308
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13633 37TH Ave FL 7
Flushing, NY 11354-4561
Phone
(718) 321-3262
NPI assigned
Feb 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13633 37TH Ave FL 7
Flushing, NY 11354-4561

Mailing address

13633 37TH Ave FL 7
Flushing, NY 11354-4561

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
I20250609001431 NY Practitioner - Physician Assistant 5294245320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ae&Ly Ambulatory Endoscopy PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262

1880 E Jericho Tpke
Huntington, NY 11743
Phone (631) 629-4628

Organizations & group practices 2

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1104631308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13633 37TH AVE FL 7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13633 37TH AVE FL 7",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544561",
            "telephone_number": "718-321-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAN",
        "first_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.