Individual provider Active NPI

Danni Locsin, FNP

  • Family Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1760939656
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340847 Issued in NY
Practice address
13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310
Phone
(718) 961-8881
Fax
(718) 961-4333
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340847 NY Primary

Addresses

Primary practice location

13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310

Mailing address

13203 Sanford Ave Ste 1C
Flushing, NY 11355-4310
Phone (718) 961-8881

Other names 1

  • Danni Song Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000463 NY Practitioner - Nurse Practitioner 9739468349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Premium Medical Care, PCGroup PAC ID 6507949740, 5 clinicians

Practice addresses (Care Compare)

136 -33
1B/C/D
Flushing, NY 11354-4561

13633 37TH Ave
Flushing, NY 11354-4561
Phone (718) 961-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Medical Care, P.C. CurrentSince Sep 11, 2016 Accepting new patients
Premium Medical Care, PC Past Accepting new patients

Locations

13633 37th Ave
Ste 1BCD
Flushing, NY 11354

13633 37th Ave
Unit 1BCD
Flushing, NY 11354

13633 37th Ave
Ste 1B
Flushing, NY 11354
Phone (718) 961-9800

13633 37th Ave
#1
Flushing, NY 11354
Phone (718) 961-9800

13203 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 961-8881

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1760939656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE STE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554310",
            "telephone_number": "718-961-8881",
            "fax_number": "718-961-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 SANFORD AVE STE 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554310",
            "telephone_number": "718-961-8881",
            "fax_number": "718-961-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCSIN",
        "first_name": "DANNI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNI",
            "last_name": "SONG",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.