Organization Active NPI

Dermatology and Patch Testing-Queens

  • Dermatology Physician
  • Flushing, NY
National Provider Identifier
1306259221
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
224831 Issued in NY
Legal business name
DERMATOLOGY AND PATCH TESTING-QUEENS
Practice address
136-20 38TH Avenue
Suite 7I-a
Flushing, NY 11354-4232
Phone
(718) 886-7546
Fax
(718) 886-7586
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Carol L Huang, M.DNPI 1710931423
Title
M.D
Phone
71888667546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 224831 NY Primary

Addresses

Primary practice location

136-20 38TH Avenue
Suite 7I-a
Flushing, NY 11354-4232

Mailing address

136-20 38TH Avenue
Suite 7I-a
Flushing, NY 11354-4232
Phone (718) 886-7546

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Ste 7IA
Flushing, NY 11354
Phone (718) 886-7546

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1306259221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "SUITE 7I-A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544232",
            "telephone_number": "718-886-7546",
            "fax_number": "718-886-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "SUITE 7I-A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544232",
            "telephone_number": "718-886-7546",
            "fax_number": "718-886-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND PATCH TESTING-QUEENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "71888667546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "224831",
            "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 Jun 9, 2014; 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.