Organization Active NPI

Hailiu Zuo, Physician,PC

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1639240658
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192825 Issued in NY
Legal business name
HAILIU ZUO, PHYSICIAN,PC
Practice address
83 18 Cornish Ave
Elmhurst, NY 11373
Phone
(718) 779-8880
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Hailiu Zuo, MDNPI 1780771592
Title
President
Phone
(718) 779-8880

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 192825 NY Primary

Addresses

Primary practice location

83 18 Cornish Ave
Elmhurst, NY 11373

Mailing address

266 Jericho Tpke
Mineola, NY 11501-1609
Phone (516) 294-8889

Other identifiers 1

IdentifierTypeStateIssuer
01724083MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000089 NY Part B Supplier - Clinic/Group Practice 4082518345 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY; Mineola, NY

National Provider Directory

National Provider Directory

Locations

8318 Cornish Ave
Elmhurst, NY 11373
Phone (718) 779-8880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1639240658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011609",
            "telephone_number": "516-294-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 18 CORNISH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-779-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILIU ZUO, PHYSICIAN,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "ZUO",
        "authorized_official_first_name": "HAILIU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-779-8880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.