Organization Active NPI

Trinity Medical Healthcare PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1285050344
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
271378 Issued in NY
Legal business name
TRINITY MEDICAL HEALTHCARE PC
Practice address
13620 Maple Ave
Ste 203
Flushing, NY 11355-5167
Phone
(718) 886-7998
Fax
(718) 886-7978
NPI assigned
Mar 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Dr. Yanqing Ma, MDNPI 1396057253
Title
President
Phone
(718) 886-7998

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 271378 NY Primary

Addresses

Primary practice location

13620 Maple Ave
Ste 203
Flushing, NY 11355-5167

Mailing address

13620 Maple Ave
Ste 203
Flushing, NY 11355-5167
Phone (718) 886-7998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140630000783 NY Part B Supplier - Clinic/Group Practice 9537384839 Receives reassigned benefits from 1 practitioner
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
33D2074225Trinity Medical Healthcare PC13620 Maple Ave Suite 203, Flushing, NY 11355Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

13620 Maple Ave
Ste 203
Flushing, NY 11355
Phone (718) 886-7998

Practitioners & affiliated clinicians

Practitioners 3

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": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1285050344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE",
            "address_2": "STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-886-7998",
            "fax_number": "718-886-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE",
            "address_2": "STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-886-7998",
            "fax_number": "718-886-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "YANQING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-7998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "271378",
            "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 17, 2024; 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.