Organization Active NPI

Haiou Duan Medical P.C.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1124448576
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
262130 Issued in NY
Legal business name
HAIOU DUAN MEDICAL P.C.
Practice address
5314 7TH Ave, 2ND Floor
Brooklyn, NY 11220-2599
Phone
(347) 689-9112
Fax
(347) 689-2703
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Haiou DuanNPI 1760766786
Title
Owner/Manager
Phone
(347) 689-9112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 262130 NY Primary

Addresses

Primary practice location

5314 7TH Ave, 2ND Floor
Brooklyn, NY 11220-2599

Mailing address

7101 Shore Rd Apt 5C
Brooklyn, NY 11209-1815
Phone (347) 689-9112

Other identifiers 1

IdentifierTypeStateIssuer
03866942MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2080509Haiou Duan Medical PC5314 7TH Avenue, 2ND Floor, Brooklyn, NY 11220Certificate of waiverJul 8, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1124448576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SHORE RD APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091815",
            "telephone_number": "347-689-9112",
            "fax_number": "347-689-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 7TH AVE, 2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202599",
            "telephone_number": "347-689-9112",
            "fax_number": "347-689-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIOU DUAN MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "DUAN",
        "authorized_official_first_name": "HAIOU",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "347-689-9112"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "262130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03866942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.