East Coast Family Health NP PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EAST COAST FAMILY HEALTH NP PC

Practice address

6111 Queens Blvd
Woodside, NY 11377-4965

Phone

(718) 205-0287

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Miok Lim, NP

Title

Owner

Phone

(347) 891-3076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josephine Casillan-Leblanc, FNP-C

  • Primary Care Nurse Practitioner
  • Yonkers, NY
  • NPI 1023992740
  Medicare reassignment Care Compare group NPD
• Miok Lim-Drakatos

  • Family Nurse Practitioner
  • Woodside, NY
  • NPI 1043762800
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1184329369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14616 25TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541422",
            "telephone_number": "347-891-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774965",
            "telephone_number": "718-205-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14616 25th Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113541422",
            "country_code": "US",
            "telephone_number": "347-891-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST COAST FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MIOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-891-3076",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan Ngoc Duong
• Meral Duran, DNP, RN, FNP-BC
• Helen Stephanie Dwork, LMSW
• Dynamic Physical Therapy of Queens PLLC (Dynamic PT of Queens)
• E Zappi Dermatopathology Lab Inc.
• Rossanna Echegoyen, LCSW
• John Benjamin Edwards
• Kristin Ann Eggers, PT, DPT
• Elal Car Limo Service LLC (Fifth Avenue Car Limo)
• Noranne Elattal

• Family Nurse Practitioner in Woodside, NY
• Providers in Woodside, 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 9, 2023; 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.