Organization Active NPI

New Path Diagnostics LLC

  • Clinical Medical Laboratory
  • Flushing, NY
National Provider Identifier
1255571428
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
212597 Issued in NY
Legal business name
NEW PATH DIAGNOSTICS LLC
Practice address
42-11 Parsons Blvd
Ground Floor
Flushing, NY 11355-2150
Phone
(718) 321-1108
Fax
(718) 321-0158
NPI assigned
Mar 2, 2009
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Jianyou Tan, MD
Title
President
Phone
(718) 321-1108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 212597 NY Primary

Addresses

Primary practice location

42-11 Parsons Blvd
Ground Floor
Flushing, NY 11355-2150

Mailing address

42-11 Parsons Blvd
Ground Floor
Flushing, NY 11355-2150
Phone (718) 321-1108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000016 NY Part B Supplier - Independent Clinical Laboratory 4688724552 Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1093401Newpath Diagnostics42-11 Parsons Boulevard, First Floor, Flushing, NY 11355ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3370 Prince St
Ste 708
Flushing, NY 11354
Phone (718) 321-0158

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1255571428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-11 PARSONS BLVD",
            "address_2": "GROUND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552150",
            "telephone_number": "718-321-1108",
            "fax_number": "718-321-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-11 PARSONS BLVD",
            "address_2": "GROUND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552150",
            "telephone_number": "718-321-1108",
            "fax_number": "718-321-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATH DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JIANYOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "212597",
            "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 Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.