Elmhurst 88 LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELMHURST 88 LLC

Practice address

8308 Broadway
Elmhurst, NY 11373-5734

Phone

(347) 808-8769

Fax

(347) 808-8769

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Qiang Zhong

Title

Manager

Phone

(347) 808-8769

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1336855832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735734",
            "telephone_number": "347-808-8769",
            "fax_number": "347-808-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735734",
            "telephone_number": "347-808-8769",
            "fax_number": "347-808-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST 88 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "ZHONG",
        "authorized_official_first_name": "QIANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-808-8769"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elida Dental Care PC
• Elite Denal Care P.C.
• Elite Medical Ny, PC
• Belinda Ellis, N.P.,
• Scott Ryan Ellis, M.D.
• Elmhurst Adult Daycare Center Corp.
• Elmhurst Adult Daycare LLC
• Elmhurst Dental Group de PC
• Elmhurst Gastroenterology and Endoscopy, PC
• Elmhurst Medical Healthcare PC

• Optometrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.