Days Nurse Practitioner in Family Health P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.

Practice address

14210 Roosevelt Ave Ste P10
Flushing, NY 11354-6000

Phone

(929) 362-2082

Fax

(929) 362-2083

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Shengjie MoNPI 1770601015

Title

Family Physician

Phone

(917) 881-0690

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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.

• Shengjie Mo, FNP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1770601015
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1114668969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 19TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573820",
            "telephone_number": "917-881-0690",
            "fax_number": "929-362-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 ROOSEVELT AVE STE P10",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546000",
            "telephone_number": "929-362-2082",
            "fax_number": "929-362-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "SHENGJIE",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "917-881-0690"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02265465",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14210 Roosevelt Ave Ste P10",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113546000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.