Organization Active NPI

Jong Chuan Shieh MD Medical PC

  • Specialist
  • Flushing, NY
National Provider Identifier
1548429012
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
189474 Issued in NY
Legal business name
JONG CHUAN SHIEH MD MEDICAL PC
Practice address
3822 147TH St Ste 1a
Flushing, NY 11354-4752
Phone
(718) 886-8180
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Jong Chuan Shieh, M.D.
Title
Medical Doctor
Phone
(718) 886-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 189474 NY Primary

Addresses

Primary practice location

3822 147TH St Ste 1a
Flushing, NY 11354-4752

Mailing address

PO Box 520512
Flushing, NY 11352-0512
Phone (718) 886-8180

Other identifiers 1

IdentifierTypeStateIssuer
01798118MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1548429012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520512",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113520512",
            "telephone_number": "718-886-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 147TH ST STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544752",
            "telephone_number": "718-886-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG CHUAN SHIEH MD MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SHIEH",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "CHUAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-886-8180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "189474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01798118",
            "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 Jun 9, 2008; 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.