Individual provider Active NPI

Niu Niu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
National Provider Identifier
1417108440
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
250671 Issued in NY
Practice address
140-31 Cherry Ave.
Apt 1a
Flushing, NY 11355-3168
Phone
(718) 353-9088
Fax
(718) 353-9087
NPI assigned
Oct 8, 2008
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 250671 NY Primary
Rehabilitation Practitioner 225400000X 250671 NY

Addresses

Primary practice location

140-31 Cherry Ave.
Apt 1a
Flushing, NY 11355-3168

Mailing address

140-31 Cherry Ave.
Apt 1a
Flushing, NY 11355-3168
Phone (718) 353-9088

Other identifiers 1

IdentifierTypeStateIssuer
03036766MedicaidNY

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
I20110318000228 NY Practitioner - Physical Medicine and Rehabilitation 0840473518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14031 Cherry Ave
Apt 1a
Flushing, NY 11355-3168
Phone (718) 353-9088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250671NYMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Medical PC CurrentSince Sep 1, 2013 Accepting new patients

Locations

14031 Cherry Ave
Apt 1A
Flushing, NY 11355
Phone (718) 353-9088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1417108440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140-31 CHERRY AVE.",
            "address_2": "APT 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553168",
            "telephone_number": "718-353-9088",
            "fax_number": "718-353-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140-31 CHERRY AVE.",
            "address_2": "APT 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553168",
            "telephone_number": "718-353-9088",
            "fax_number": "718-353-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIU",
        "first_name": "NIU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "250671",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "250671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03036766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.