Individual provider Active NPI

Adam Julio Flores, PA

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1205420445
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026373 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Mar 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026373 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210326000759 NY Practitioner - Physician Assistant 8224445804 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

1033 Northern Blvd
Roslyn, NY 11576-1502
Phone (516) 537-9063

1332 Peninsula Blvd
Hewlett, NY 11557-1226
Phone (516) 531-6130

13434 Springfield Blvd
Springfield Gardens, NY 11413-1459
Phone (516) 537-9063

1436 Union Tpke
New Hyde Park, NY 11040-1761
Phone (516) 360-3631

199 Amsterdam Ave
New York, NY 10023-5024
Phone (646) 863-0463

203 Gramatan Ave
Suite a
Mount Vernon, NY 10550-1291
Phone (914) 202-4830

243 Merrick Rd
Rockville Centre, NY 11570-5211
Phone (516) 537-9063

2501 Jackson Ave
Suite 100
Long Island City, NY 11101-5095
Phone (347) 588-4725

2640 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 537-9064

3571 Long Beach Rd
Oceanside, NY 11572-5702
Phone (516) 531-6055

3631 Hempstead Tpke
63A
Levittown, NY 11756-1315
Phone (516) 537-9063

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

4119 Bell Blvd
Bayside, NY 11361-2858
Phone (929) 373-4480

46 Great Neck Rd
Great Neck, NY 11021-3305
Phone (516) 253-2844

50 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 399-3068

5505 Myrtle Ave
Ridgewood, NY 11385-3550
Phone (718) 502-9063

5828 99TH St
Corona, NY 11368-4306
Phone (718) 502-9867

5828 99TH St Corona
Corona, NY 11368-4306
Phone (718) 502-9867

595 Hempstead Tpke
Suite a
West Hempstead, NY 11552-1030
Phone (347) 493-2952

683 Sunrise Hwy
Lynbrook, NY 11563-3246
Phone (516) 441-2155

71 Forest Ave
Glen Cove, NY 11542-2112
Phone (347) 493-2941

77 Quaker Ridge Rd
Suite 4
New Rochelle, NY 10804-2812
Phone (914) 266-3104

9881 Queens Blvd
Rego Park, NY 11374-4404
Phone (718) 502-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026373NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 11, 2024 Accepting new patients
New York University CurrentSince Mar 11, 2024 Accepting new patients
New York Hand Surgery of Queens PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adam.flores@ghuc.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1205420445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ADAM",
        "middle_name": "JULIO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.