Premium Medical Care, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

224337 Issued in NY

Legal business name

PREMIUM MEDICAL CARE, P.C.

Practice address

13203 Sanford Ave
Unit 1C, 1D
Flushing, NY 11355-4309

Phone

(212) 470-1500

Fax

(718) 961-4333

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Helen Sun

Title

Biller

Phone

(718) 961-8881

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Premium Medical Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premium Medical Care, PC

  • Clinic/Center
  • Flushing, NY
  • NPI 1336699479
  NPD tax ID

Locations

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khushali Tejasbhai Kukadiya, PHYSICAL THERAPIST

  • Physical Therapist
  • Flushing, NY
  • NPI 1831943190
  Medicare reassignment Care Compare group NPD
• Sookyung Lee, D.P.T

  • Physical Therapist
  • Hicksville, NY
  • NPI 1306215900
  Medicare reassignment Care Compare group NPD
• Danni Locsin, FNP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1760939656
  Medicare reassignment Care Compare group NPD
• Rochelle Calayag Mitra, DPT

  • Physical Therapist
  • Flushing, NY
  • NPI 1023721149
  Medicare reassignment Care Compare group NPD
• Yong Hong Xiao, MD

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1205919313
  Medicare reassignment Care Compare group
• Ying-Chen Chen, P.T.

  • Physical Therapist
  • Astoria, NY
  • NPI 1790133759
  Medicare reassignment NPD
• Xiaoyu Gao

  • Adult Health Nurse Practitioner
  • Flushing, NY
  • NPI 1699572156
  Medicare reassignment NPD
• Jong Moon Kim, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1225697741
  Medicare reassignment NPD
• Junsu Park

  • Physical Therapist
  • Flushing, NY
  • NPI 1801540133
  Medicare reassignment NPD
• Noemi Algodon, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1679803340
  NPD
• Yaoming Wang

  • Pediatrics Physician
  • Flushing, NY
  • NPI 1366581563
  NPD
• Lisa M Guan, NP

  • Pediatric Nurse Practitioner
  • Flushing, NY
  • NPI 1043452261
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1730399163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PEPPERMILL RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763106",
            "telephone_number": "212-470-1500",
            "fax_number": "718-961-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE",
            "address_2": "UNIT 1C, 1D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554309",
            "telephone_number": "212-470-1500",
            "fax_number": "718-961-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "718-961-8881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "224337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01717826",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02266255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premiere Adult Daycare LLC
• Premise Health of New York Medical PC
• Premise Health of New York Medical, P.C
• Premium Care
• Premium Home Services Cdpap LLC
• Premium Medical Care, PC
• Premium Medical of New York PC
• Premium Medical of Ny,PC
• Premium Pharmacy 2 Inc
• Premium Pharmacy Inc

• Physical Medicine & Rehabilitation Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.