Grace Medical Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

217425 Issued in NY

Legal business name

GRACE MEDICAL CARE, PLLC

Practice address

13347 Sanford Ave Ste C1G
Flushing, NY 11355-5816

Phone

(718) 886-7888

Fax

(718) 886-9120

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Bin Wang, MDNPI 1942335096

Title

President

Phone

(718) 886-7888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Bin Wang, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1942335096
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1255513487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 KENSINGTON CIR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110304106",
            "telephone_number": "718-886-7888",
            "fax_number": "718-886-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13347 SANFORD AVE STE C1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555816",
            "telephone_number": "718-886-7888",
            "fax_number": "718-886-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evridiki Vicki Goulimis-Poulos, RPH
• Prashil Govind, MD
• Herminia Goyena, PTA
• Gpo Physical Therapy PC
• Grace Ambulette
• Grace Physical Therapy P.C.
• Susan Grace, LCSW
• Graceful Dental PLLC
• Diane Theresa Graff, M.A., CCC-SLP
• Zahava Graff

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.