Dr Deng Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD440933 Issued in PA

Legal business name

DR DENG CLINIC LLC

Practice address

121 N 9TH St
Philadelphia, PA 19107-2410

Phone

(201) 345-3532

NPI assigned

Sep 11, 2010

Organization subpart

No

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

Authorized official

Name

Xiaoying Deng, M.D.

Title

Ceo

Phone

(201) 345-3532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1700193786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E RIDGEWOOD AVE",
            "address_2": "APT 17",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503340",
            "telephone_number": "201-345-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072410",
            "telephone_number": "201-345-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DENG CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "XIAOYING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-345-3532",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD440933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.