Organization Active NPI

Ny Queens NP Adult Health Care PC

  • Adult Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1245791086
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NY QUEENS NP ADULT HEALTH CARE PC
Practice address
3502 150TH PL
Flushing, NY 11354-4922
Phone
(347) 368-6691
Fax
(929) 999-5729
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Yunkyoung Jeong, NPNPI 1427301902
Title
President
Phone
(347) 368-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

3502 150TH PL
Flushing, NY 11354-4922

Mailing address

3502 150TH PL
Flushing, NY 11354-4922
Phone (347) 368-6691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190418001774 NY Part B Supplier - Clinic/Group Practice 5092056176 Receives reassigned benefits from 2 practitioners
Practice locations: Woodside, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

3502 150th Pl
Flushing, NY 11354
Phone (347) 368-6691

3819 Union St
Ste 204
Flushing, NY 11354
Phone (347) 368-6691

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1245791086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544922",
            "telephone_number": "347-368-6691",
            "fax_number": "929-999-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544922",
            "telephone_number": "347-368-6691",
            "fax_number": "929-999-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY QUEENS NP ADULT HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "YUNKYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-368-6691",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2026; 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.