Jun Yang Kidney Care PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

257366 Issued in NY

Legal business name

JUN YANG KIDNEY CARE PC

Practice address

13443 Maple Ave Ste C1D
Flushing, NY 11355-4527

Phone

(718) 886-7588

Fax

(646) 863-4210

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Jun Yang, MD

Title

President

Phone

(347) 296-5922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1124381983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14329 BARCLAY AVE APT 5D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551978",
            "telephone_number": "347-296-5922",
            "fax_number": "646-863-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13443 MAPLE AVE STE C1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554527",
            "telephone_number": "718-886-7588",
            "fax_number": "646-863-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN YANG KIDNEY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-296-5922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "257366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03239723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia'S Optical
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• Jumpstart Medical LLC
• Jun Lee PT, P.C
• Jun NP in Adult Health P.C.
• Bokkwan Jun, M.D.
• Meesuk Jun, ACUPUNCTURIST
• Jung Acupuncture P.C.
• Andrew Jung, DO
• Anthony Higuk Jung, M.D

• Medical Specialty Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.