Active NPI
Jiansheng Zhao Medical PC
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1164634432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NY203543
- Legal business name
- JIANSHENG ZHAO MEDICAL PC
- Practice address
- 39-07 Prince Street
Suite 4F
Flushing, NY 11354-5399 - Phone
- (718) 939-3780
- Fax
- (718) 939-7040
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jiansheng Zhao, MD
- Title
- Provider
- Phone
- (718) 939-3780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NY203543 | NY | Primary |
Addresses
Primary practice location
39-07 Prince Street
Suite 4F
Flushing, NY 11354-5399
Mailing address
3907 Prince St
Suite 4F
Flushing, NY 11354-5399
Phone (718) 939-3780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01694848 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
3907 Prince St
Ste 4F
Flushing, NY 11354
Phone (718) 939-3780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1164634432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 PRINCE ST",
"address_2": "SUITE 4F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545399",
"telephone_number": "718-939-3780",
"fax_number": "718-939-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39-07 PRINCE STREET",
"address_2": "SUITE 4F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545399",
"telephone_number": "718-939-3780",
"fax_number": "718-939-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIANSHENG ZHAO MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "ZHAO",
"authorized_official_first_name": "JIANSHENG",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "718-939-3780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "NY203543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01694848",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.