Organization Active NPI

Little Tsingtao Medical P.C.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1316079577
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
240769 Issued in NY
Legal business name
LITTLE TSINGTAO MEDICAL P.C.
Practice address
13338 41St Road
2Q
Flushing, NY 11355
Phone
(718) 353-7626
Fax
(718) 353-7625
NPI assigned
Mar 12, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Ji-Qing Wei, M.D.NPI 1720194509
Title
President
Phone
(718) 353-7626

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
Pediatrics Physician 208000000X 240769 NY Primary

Addresses

Primary practice location

13338 41St Road
2Q
Flushing, NY 11355

Mailing address

13338 41St Road
2Q
Flushing, NY 11355
Phone (718) 353-7626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000464 NY Part B Supplier - Clinic/Group Practice 1052414505 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13107 40th Rd
Ste E17
Flushing, NY 11354
Phone (718) 353-7626

13338 41st Rd
Ste 2Q
Flushing, NY 11355
Phone (718) 353-7626

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1316079577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13338 41ST ROAD",
            "address_2": "2Q",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-353-7626",
            "fax_number": "718-353-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13338 41ST ROAD",
            "address_2": "2Q",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-353-7626",
            "fax_number": "718-353-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TSINGTAO MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "JI-QING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-353-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "240769",
            "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 30, 2008; 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.