Active NPI
Wonderful Senior Program Inc.
- Adult Day Care Clinic/Center
- Flushing, NY
National Provider Identifier
1710641865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.