Individual provider Active NPI

Shihan Zuo, PA

  • Medical Physician Assistant
  • Flushing, NY
National Provider Identifier
1649952177
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
13620 38TH Ave Ste 6F
Flushing, NY 11354-4263
Phone
(718) 888-9700
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NY Primary

Addresses

Primary practice location

13620 38TH Ave Ste 6F
Flushing, NY 11354-4263

Mailing address

3536 172ND St
Flushing, NY 11358-1830
Phone (347) 272-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251027003010 NY Practitioner - Physician Assistant 1355830738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saginaw Valley Medical College - NLG, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18303 58TH Ave
Unit B
Fresh Meadows, NY 11365-2208

3808 Union St
Flushing, NY 11354-5543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030604NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basicare Medical PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

3808 Union St
Ste 10B
Flushing, NY 11354
Phone (718) 886-2828

3808 Union St
Ste 7C
Flushing, NY 11354
Phone (718) 475-9606

1575 Hillside Ave
#308
New Hyde Park, NY 11040
Phone (516) 886-8058

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1649952177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 172ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581830",
            "telephone_number": "347-272-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE STE 6F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544263",
            "telephone_number": "718-888-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUO",
        "first_name": "SHIHAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.