Organization Active NPI

Good Care Medical,P.C.

  • Specialist
  • Flushing, NY
National Provider Identifier
1598084709
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
212380 Issued in NY
Legal business name
GOOD CARE MEDICAL,P.C.
Practice address
4233 Kissena Blvd
1A
Flushing, NY 11355-3241
Phone
(718) 888-7122
Fax
(718) 888-7172
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Jing Deng, M.D.
Title
President
Phone
(718) 888-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 212380 NY Primary

Addresses

Primary practice location

4233 Kissena Blvd
1A
Flushing, NY 11355-3241

Mailing address

4233 Kissena Blvd
1A
Flushing, NY 11355-3241
Phone (718) 888-7122

Other identifiers 1

IdentifierTypeStateIssuer
02173628MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1598084709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 KISSENA BLVD",
            "address_2": "1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553241",
            "telephone_number": "718-888-7122",
            "fax_number": "718-888-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 KISSENA BLVD",
            "address_2": "1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553241",
            "telephone_number": "718-888-7122",
            "fax_number": "718-888-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD CARE MEDICAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-888-7122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "212380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02173628",
            "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 May 27, 2010; 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.