Deng Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

200689 Issued in NY

Legal business name

DENG MEDICAL PC

Practice address

4202 Kissena Blvd
Suite 1B
Flushing, NY 11355-3214

Phone

(718) 539-8746

Fax

(718) 463-2197

NPI assigned

Feb 1, 2008

Last updated

Mar 3, 2008By 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

Juliang Deng, M.D.NPI 1164547402

Title

President

Phone

(718) 539-8746

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Juliang Deng, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1164547402

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1730367723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 KISSENA BLVD",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553214",
            "telephone_number": "718-539-8746",
            "fax_number": "718-463-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 KISSENA BLVD",
            "address_2": "SUITE 1B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553214",
            "telephone_number": "718-539-8746",
            "fax_number": "718-463-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENG MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "JULIANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-539-8746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "200689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01837512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta Science Company
• Marvin Zev Deluty, PH.D.
• Marianne Demarco-Racanati, MA CCC/SLP
• Brenda Angeline Demelo, RN
• Aleksandr Demin
• Emily Deng
• Jing Deng, M.D.
• Juliang Deng, M.D.
• Ruiting Deng
• Daphne Denis

• Primary Care Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.