Organization Active NPI

Jae Hong Min, M.D.,P.C.

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1497161558
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
JAE HONG MIN, M.D.,P.C.
Practice address
3409 Murray St FL 1
Flushing, NY 11354-3948
Phone
(718) 353-5300
Fax
(718) 353-5322
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Jae Hong Min, MD
Title
Ceo
Phone
(718) 353-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3409 Murray St FL 1
Flushing, NY 11354-3948

Mailing address

3409 Murray St FL 1
Flushing, NY 11354-3948
Phone (718) 353-5300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1497161558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 MURRAY ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543948",
            "telephone_number": "718-353-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 MURRAY ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543948",
            "telephone_number": "718-353-5300",
            "fax_number": "718-353-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE HONG MIN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-353-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 9, 2014; 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.