Organization Active NPI

Salus Medical Flushing PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1437474970
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250203 Issued in NY
Legal business name
SALUS MEDICAL FLUSHING PC
Practice address
41-40 Union Street
#2
Flushing, NY 11355-2540
Phone
(718) 886-9098
Fax
(718) 886-2086
NPI assigned
Mar 27, 2010
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Dr. Henry JC Yan, MDNPI 1750533428
Title
MD
Phone
(718) 886-9098

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
Internal Medicine Physician 207R00000X 250203 NY Primary

Addresses

Primary practice location

41-40 Union Street
#2
Flushing, NY 11355-2540

Mailing address

41-40 Union Street
#2
Flushing, NY 11355-2540
Phone (718) 886-9098

Other identifiers 1

IdentifierTypeStateIssuer
03205227MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100722000127 NY Part B Supplier - Clinic/Group Practice 6002948379 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13338 41st Rd
Ste 2L
Flushing, NY 11355
Phone (718) 886-9086

Practitioners & affiliated clinicians

Practitioners 2

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": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1437474970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-40 UNION STREET",
            "address_2": "#2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552540",
            "telephone_number": "718-886-9098",
            "fax_number": "718-886-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-40 UNION STREET",
            "address_2": "#2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552540",
            "telephone_number": "718-886-9098",
            "fax_number": "718-886-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS MEDICAL FLUSHING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-9098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03205227",
            "state": "NY"
        }
    ],
    "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 Mar 14, 2014; 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.