Gu & Gao Medical PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

270433 Issued in NY

Legal business name

GU & GAO MEDICAL PLLC

Practice address

13668 Roosevelt Ave Ste 4C
Flushing, NY 11354-5510

Phone

(917) 563-1697

Fax

(917) 563-1804

NPI assigned

Feb 16, 2016

Last updated

Aug 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yongpeng GuNPI 1629416664

Title

Owner

Phone

(917) 563-1697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Yongpeng Gu, M.D.

  • Urology Physician
  • Flushing, NY
  • NPI 1629416664
  Medicare reassignment NPD Authorized official
• Weiyi Gao, MD

  • Neurology Physician
  • Flushing, NY
  • NPI 1760642961
  NPD

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1689033821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SOMERSET DR S",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201821",
            "telephone_number": "917-563-1697",
            "fax_number": "917-563-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 4C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "917-563-1697",
            "fax_number": "917-563-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GU & GAO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "GU",
        "authorized_official_first_name": "YONGPENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-563-1697"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "270433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Grossman
• Grow and Develop With Inessa LLC
• Hannah Rose Gruber
• Benjamin Zvi Grysman, PHD
• Irene Grysman, NP
• Catherine Gu
• Irene Gu
• Kangxia Gu, MD
• Wei Gu, FNP
• Yanbo Gu

• Medical Specialty Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.