Organization Active NPI

Cao & Associates Medicine PLLC

  • Primary Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1487121398
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAO & ASSOCIATES MEDICINE PLLC
Practice address
3808 Union St Ste 6B
Flushing, NY 11354-5672
Phone
(618) 559-6549
NPI assigned
Oct 29, 2018
Last updated
May 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Shimin Cao, MDNPI 1922100213
Title
Owner
Phone
(618) 559-6549

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3808 Union St Ste 6B
Flushing, NY 11354-5672

Mailing address

3024 150TH PL
Flushing, NY 11354-2423
Phone (618) 559-6549

Other names 1

  • CAO & ASSOCIATES MEDICINE PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190402001433 NY Part B Supplier - Clinic/Group Practice 0042551939 Receives reassigned benefits from 4 practitioners
Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2175741Cao & Associates Medicine PLLC3808 Union St 5B, Flushing, NY 11354Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

3808 Union St
Ste 5B
Flushing, NY 11354
Phone (718) 888-1125

3808 Union St
Ste 6B
Flushing, NY 11354
Phone (618) 559-6549

Practitioners & affiliated clinicians

Practitioners 4

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1487121398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 150TH PL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542423",
            "telephone_number": "618-559-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 6B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545672",
            "telephone_number": "618-559-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAO & ASSOCIATES MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "SHIMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-559-6549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAO & ASSOCIATES MEDICINE PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CAO & ASSOCIATES MEDICINE PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.