Organization Active NPI

Jing Qiao OB/GYN P.C.

  • Obstetrics & Gynecology Physician
  • Flushing, NY
National Provider Identifier
1508406901
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JING QIAO OB/GYN P.C.
Practice address
4265 Kissena Blvd # L3
Flushing, NY 11355-3273
Phone
(646) 758-7288
Fax
(833) 983-5651
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Authorized official

Name
Dr. Jing Qiao, MDNPI 1285887711
Title
Owner
Phone
(646) 758-7288

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4265 Kissena Blvd # L3
Flushing, NY 11355-3273

Mailing address

4265 Kissena Blvd # L3
Flushing, NY 11355-3273
Phone (646) 758-7288

Other identifiers 2

IdentifierTypeStateIssuer
12184894OtherCAQH
05818566MedicaidNY

National Provider Directory

National Provider Directory

Locations

4265 Kissena Blvd
#L3
Flushing, NY 11355
Phone (646) 758-7288

4265 Kissena Blvd
Unit L3
Flushing, NY 11355

4265 Kissena Blvd
Apt L3
Flushing, NY 11355
Phone (630) 605-5666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607731200000",
    "number": "1508406901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 KISSENA BLVD # L3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553273",
            "telephone_number": "646-758-7288",
            "fax_number": "833-983-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 KISSENA BLVD # L3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553273",
            "telephone_number": "646-758-7288",
            "fax_number": "833-983-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING QIAO OB/GYN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "QIAO",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-758-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12184894",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05818566",
            "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 Dec 12, 2020; 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.