Long Island Home Visiting Physician, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

237534 Issued in NY

Legal business name

LONG ISLAND HOME VISITING PHYSICIAN, PC

Practice address

3907 Prince St
3G
Flushing, NY 11354-5399

Phone

(718) 888-1202

Fax

(516) 558-7900

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yuchun Chen, MDNPI 1417016221

Title

MD

Phone

(917) 825-9391

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Yuchun Chen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Flushing, NY
  • NPI 1417016221
  Medicare reassignment NPD Authorized official
• Xiyun Shao, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1396931085
  NPD

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1255519971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 JEAN PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915914",
            "telephone_number": "718-888-1202",
            "fax_number": "516-558-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 PRINCE ST",
            "address_2": "3G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545399",
            "telephone_number": "718-888-1202",
            "fax_number": "516-558-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND HOME VISITING PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YUCHUN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-825-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "237534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances A Lombardi, LCSW-R
• Dawn Loner Elise Loner, LPN
• Maureen Farrell Lonergan, N.P.
• Long Coast Medical PLLC
• Long Island Care Center Inc
• Long Island Specialist Pediatrics PC
• Hongzhou Long, L.AC
• Sharon Long, DNP, FNP
• Longevity Acupuncture P.C.
• Longevity Enterprise Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.