Jin Qiu MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NY198620 Issued in NY

Legal business name

JIN QIU MD PC

Practice address

141 E 55TH St Apt 4C
Apt 4C
New York, NY 10022-4050

Phone

(646) 201-0268

Fax

(347) 527-9166

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Jin Qiu, M.D.

Title

President

Phone

(646) 201-0268

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1265978365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST APT 4C",
            "address_2": "APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224050",
            "telephone_number": "646-201-0268",
            "fax_number": "347-527-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E 55TH ST APT 4C",
            "address_2": "APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224050",
            "telephone_number": "646-201-0268",
            "fax_number": "347-527-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN QIU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "QIU",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-201-0268",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "NY198620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS",
            "identifier": "198620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PRACTICE LOCATION",
            "identifier": "25MA08299200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy C. Sung, MD, PLLC
• Jimmy Chan MD PLLC
• Jimmy Wong M.D., P.L.L.C.
• Jin Acupuncture Therapy PLLC
• Jin Care Physical Therapy P.C.
• Cao Jin
• Chunzi Jenny Jin, MD MSC FRCPC
• Eunha Jin
• Hope Jin, M.D.
• Hyun Woo Jin

• Primary Care Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.