Organization Active NPI

Urological Care at Flushing PC

  • Urology Physician
  • Flushing, NY
National Provider Identifier
1619283322
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
182535 Issued in NY
Legal business name
UROLOGICAL CARE AT FLUSHING PC
Practice address
136-20 38TH Avenue
Unit 7F
Flushing, NY 11354-4232
Phone
(212) 676-9811
Fax
(212) 676-9806
NPI assigned
Aug 19, 2010
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
George P.H. Young, M.D.NPI 1275559189
Title
President
Phone
(212) 876-9811

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 182535 NY Primary

Addresses

Primary practice location

136-20 38TH Avenue
Unit 7F
Flushing, NY 11354-4232

Mailing address

1060 Fifth Ave
Suite 1E/F
New York, NY 10128-0104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000553 NY Part B Supplier - Clinic/Group Practice 1052509288 Receives reassigned benefits from 1 practitioner
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
33D2032777Urological Care at Flushing PC136-20 38TH Avenue, 7F, Flushing, NY 11354Certificate of waiverNov 14, 2027

National Provider Directory

National Provider Directory

Locations

13620 38th Ave
Ste 7F
Flushing, NY 11354
Phone (212) 876-9811

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": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1619283322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FIFTH AVE",
            "address_2": "SUITE 1E/F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38TH AVENUE",
            "address_2": "UNIT 7F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544232",
            "telephone_number": "212-676-9811",
            "fax_number": "212-676-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL CARE AT FLUSHING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P.H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-876-9811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "182535",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2010; 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.