Individual provider Active NPI

Dong Ma, AGPCNP

  • Adult Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1598212946
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F3078881 Issued in NY
Practice address
4235 Main St Ste 3H
Flushing, NY 11355-3969
Phone
(718) 321-0381
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F3078881 NY Primary

Addresses

Primary practice location

4235 Main St Ste 3H
Flushing, NY 11355-3969

Mailing address

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (631) 425-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, CO, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20161213000380 NY Practitioner - Nurse Practitioner 0749560563 Reassigns benefits to 3 organizations
I20250811001488 VA Practitioner - Nurse Practitioner 0749560563 Reassigns benefits to 1 organization
I20250922001360 CO Practitioner - Nurse Practitioner 0749560563 Reassigns benefits to 1 organization
I20260611000085 WA Practitioner - Nurse Practitioner 0749560563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-6874

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3078881NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
New York University CurrentSince Nov 1, 2016 Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Oneida Health Systems, Inc Current Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince May 5, 2025 Accepting new patients
CHS Physician Partners, P.C CurrentSince Sep 23, 2018 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2025 Accepting new patients
Oneida Health Systems, Inc. CurrentSince Oct 1, 2024 Accepting new patients
CHS Physician Partners, PC CurrentSince Sep 23, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 20, 2020 Accepting new patients
Valley View Hospital Association Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080

2200 Northern Blvd
Ste 111
Greenvale, NY 11548
Phone (516) 325-7500

180 Pulaski Rd
Huntington Station, NY 11746
Phone (631) 425-2121

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

405 Chatham Heights Rd
Fredericksburg, VA 22405
Phone (540) 300-6182

Interoperability endpoints

  • Direct secure messaging: dom9096@direct.nyp.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1598212946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E PULASKI RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461915",
            "telephone_number": "631-425-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 3H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-321-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "DONG",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3078881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.