Organization Active NPI

East Sea Medical Care PC

  • Community Health Worker
  • Flushing, NY
National Provider Identifier
1538467378
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
EAST SEA MEDICAL CARE PC
Practice address
3712 Prince St Ste 7a
Flushing, NY 11354-4651
Phone
(718) 886-8783
Fax
(718) 886-8184
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Pinmei Yao, M.D,NPI 1669604633
Title
Attending, MD
Phone
(516) 425-6703

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
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

3712 Prince St Ste 7a
Flushing, NY 11354-4651

Mailing address

3712 Prince St Ste 7a
Flushing, NY 11354-4651
Phone (718) 886-8783

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000015 NY Part B Supplier - Clinic/Group Practice 3678755683 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13338 41st Rd
Ste 2G
Flushing, NY 11355
Phone (516) 425-6703

13619 41st Ave
Fl 4
Flushing, NY 11355
Phone (718) 886-5266

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1538467378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 7A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544651",
            "telephone_number": "718-886-8783",
            "fax_number": "718-886-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 7A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544651",
            "telephone_number": "718-886-8783",
            "fax_number": "718-886-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SEA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "PINMEI",
        "authorized_official_title_or_position": "ATTENDING, MD",
        "authorized_official_telephone_number": "516-425-6703",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "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 14, 2023; 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.