NPIMap

Organization Active NPI

Sunny Friendly Medical PC

  • Clinic/Center
  • Flushing, NY
National Provider Identifier
1285077123
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
267041 Issued in NY
Legal business name
SUNNY FRIENDLY MEDICAL PC
Practice address
4199 Main St Ste 201
Flushing, NY 11355-3821
Phone
(718) 961-1897
NPI assigned
Apr 10, 2013
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Xiaoyan SongNPI 1821368390
Title
Owner
Phone
(646) 400-3589

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
Clinic/Center 261Q00000X 267041 NY Primary

Addresses

Primary practice location

4199 Main St Ste 201
Flushing, NY 11355-3821

Mailing address

4199 Main St Ste 201
Flushing, NY 11355-5164
Phone (718) 961-1897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140211001328 NY Part B Supplier - Clinic/Group Practice 7113156324 Receives reassigned benefits from 9 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13621 Roosevelt Ave
Ste 409
Flushing, NY 11354
Phone (718) 888-9778

3712 Prince St
Ste 6D
Flushing, NY 11354
Phone (631) 235-0000

4199 Main St
Ste 201
Flushing, NY 11355
Phone (718) 961-1897

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1285077123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555164",
            "telephone_number": "718-961-1897",
            "fax_number": "718-766-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 MAIN ST STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553821",
            "telephone_number": "718-961-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY FRIENDLY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "XIAOYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-400-3589"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "267041",
            "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 Jul 25, 2024; 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.