P & I Dream

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

241219 Issued in NY

Legal business name

P & I DREAM

Practice address

15301 Northern Blvd
Suite 2D
Flushing, NY 11354-5035

Phone

(718) 321-3210

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Jae Geun Hyun, MD

Title

Owner

Phone

(718) 321-3210

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1750634911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "SUITE 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-321-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "address_2": "SUITE 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "718-321-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & I DREAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "HYUN",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "GEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-3210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "241219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03302792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.