Organization Active NPI

Wonderful Senior Program Inc.

  • Adult Day Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1710641865
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WONDERFUL SENIOR PROGRAM INC.
Practice address
13419 Blossom Ave FL 1
Flushing, NY 11355-4893
Phone
(929) 202-3377
Fax
(347) 246-0478
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Zhong Ren Liu
Title
Owner
Phone
(929) 202-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

13419 Blossom Ave FL 1
Flushing, NY 11355-4893

Mailing address

13419 Blossom Ave
Flushing, NY 11355-4893
Phone (929) 202-3377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1710641865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13419 BLOSSOM AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554893",
            "telephone_number": "929-202-3377",
            "fax_number": "347-246-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 BLOSSOM AVE FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554893",
            "telephone_number": "929-202-3377",
            "fax_number": "347-246-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL SENIOR PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "ZHONG REN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-202-3377"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "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 Oct 30, 2023; 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.