Active NPI
Good Care Medical,P.C.
- Specialist
- Flushing, NY
National Provider Identifier
1598084709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 212380
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02173628 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.