Organization Active NPI

Jiansheng Zhao Medical PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1164634432
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NY203543 Issued in NY
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

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01694848MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.