NPIMap

Organization Active NPI

Premium Medical Care, PC

  • Clinic/Center
  • Flushing, NY
National Provider Identifier
1336699479
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIUM MEDICAL CARE, PC
Practice address
13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310
Phone
(718) 961-8881
Fax
(718) 961-4333
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Yonghong Xiao, MDNPI 1205919313
Title
Physician
Phone
(718) 961-8881

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310

Mailing address

13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310
Phone (718) 961-8881

National Provider Directory

National Provider Directory
Tax ID family
Premium Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1336699479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE STE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554310",
            "telephone_number": "718-961-8881",
            "fax_number": "718-961-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE STE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554310",
            "telephone_number": "718-961-8881",
            "fax_number": "718-961-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "XIAO",
        "authorized_official_first_name": "YONGHONG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-961-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Oct 13, 2016; 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.