Organization Active NPI

Skyview Comprehensive Medical Care PLLC

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1538614508
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
275114 Issued in NY
Legal business name
SKYVIEW COMPREHENSIVE MEDICAL CARE PLLC
Practice address
13107 40TH Rd
E09
Flushing, NY 11354-5116
Phone
(718) 886-4068
NPI assigned
Aug 19, 2016
Last updated
Nov 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Authorized official

Name
Dr. Zhiyou Zhang, M.D.NPI 1851737001
Title
President
Phone
(717) 877-2268

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 254457 NY
Pediatrics Physician 208000000X 261824 NY
Pediatrics Physician 208000000X 275114 NY Primary

Addresses

Primary practice location

13107 40TH Rd
E09
Flushing, NY 11354-5116

Mailing address

13107 40TH Rd
E09
Flushing, NY 11354-5116
Phone (718) 886-4068

Other identifiers 1

IdentifierTypeStateIssuer
04138258MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161123000916 NY Part B Supplier - Clinic/Group Practice 9931488525 Receives reassigned benefits from 2 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
33D2121585Skyview Comprehensive Medical Care PLLC13107 40TH Rd - E9, Flushing, NY 11354Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1538614508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 40TH RD",
            "address_2": "E09",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "telephone_number": "718-886-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13107 40TH RD",
            "address_2": "E09",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545116",
            "telephone_number": "718-886-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYVIEW COMPREHENSIVE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "ZHIYOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-877-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "254457",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "261824",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "275114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04138258",
            "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 Nov 11, 2016; 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.