Organization Active NPI

Hu Nam Nam MD

  • Corporate Health Clinic/Center
  • Flushing, NY
National Provider Identifier
1649496175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
163382 Issued in NY
Legal business name
HU NAM NAM MD
Practice address
13625 Maple Ave
Suite 201
Flushing, NY 11355-3870
Phone
(718) 886-3300
Fax
(718) 886-8117
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hu Nam Nam, MD
Title
Owner
Phone
(718) 886-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 163382 NY Primary

Addresses

Primary practice location

13625 Maple Ave
Suite 201
Flushing, NY 11355-3870

Mailing address

13625 Maple Ave
Suite 201
Flushing, NY 11355-3870
Phone (718) 886-3300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649496175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-886-3300",
            "fax_number": "718-886-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 MAPLE AVE",
            "address_2": "SUITE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553870",
            "telephone_number": "718-886-3300",
            "fax_number": "718-886-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HU NAM NAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "HU",
        "authorized_official_middle_name": "NAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NY",
            "license": "163382",
            "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 22, 2020; 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.