Individual provider Active NPI

Daniel Zhang

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1407251283
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
283499 Issued in NY
Practice address
14210B Roosevelt Ave Ste P24
Flushing, NY 11354-6000
Phone
(187) 990-1997
Fax
(718) 799-0739
NPI assigned
Oct 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 283499 NY Primary

Addresses

Primary practice location

14210B Roosevelt Ave Ste P24
Flushing, NY 11354-6000

Mailing address

14210B Roosevelt Ave Ste P24
Flushing, NY 11354-6000
Phone (718) 799-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326001813 NY Practitioner - Family Practice 3870833064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14210 B Roosevelt Ave
Suite P24
Flushing, NY 11354-6000
Phone (718) 799-0199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Kondor Primary Care PLLC Family Medicine CurrentSince Jan 27, 2023 Accepting new patients

Locations

14210B Roosevelt Ave
Ste P24
Flushing, NY 11354
Phone (718) 799-0199

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1407251283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210B ROOSEVELT AVE STE P24",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546000",
            "telephone_number": "718-799-0199",
            "fax_number": "718-799-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210B ROOSEVELT AVE STE P24",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546000",
            "telephone_number": "187-990-1997",
            "fax_number": "718-799-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "283499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.