Medical Procare, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

203898 Issued in NY

Legal business name

MEDICAL PROCARE, PLLC

Practice address

13221 41St Ave
Flushing, NY 11355-5853

Phone

(718) 888-7728

Fax

(718) 888-7738

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin PanNPI 1427062108

Title

MD

Phone

(718) 888-7728

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Calvin Q Pan, M.D.

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1427062108
  Medicare reassignment Care Compare group Authorized official
• Ming Jiang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1184756744
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1225209778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555853",
            "telephone_number": "718-888-7728",
            "fax_number": "718-888-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555853",
            "telephone_number": "718-888-7728",
            "fax_number": "718-888-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-888-7728"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "203898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medi-Space Pharma Inc (Medi-Space Drugs)
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• Medical Care Innovation, P.C.
• Medical Comprehensive Care P.C.
• Medical Practice PLLC
• Medical Records Billing Solutions Inc
• Adriel Medina
• Gabrielle Mercedes Medina
• Sharon Medina
• Medis East, Inc (Silvercare)

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.