Phoenix Medical Office PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

241558 Issued in NY

Legal business name

PHOENIX MEDICAL OFFICE PLLC

Practice address

5223 Van Loon St
Elmhurst, NY 11373-4258

Phone

(646) 943-1588

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Kyawt Thandar AungNPI 1548424963

Title

President

Phone

(646) 899-5144

Specialties & licenses 1

Addresses

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.

• Kyawt Thandar Aung, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Elmhurst, NY
  • NPI 1548424963
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1770919466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19614 58TH AVE # 1F",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652306",
            "telephone_number": "646-899-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 VAN LOON ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734258",
            "telephone_number": "646-943-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "AUNG",
        "authorized_official_first_name": "KYAWT",
        "authorized_official_middle_name": "THANDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-899-5144"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "241558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudjina Petion, LPN
• Suganda Phalakornkul, MD
• Thao Phuong Pham, LMSW
• Selina Phan, PSYD
• Anthy Cynthia Phillips, LCSW
• Physical Therapy Home & Office Services PC
• Physio Garden PT P.C.
• Marie Solanges Piard, RN
• Martine Pierre-Louis, LMSW
• Nelza B. Pierre-Louis, PHYSICIAN ASSISTANT

• Geriatric Medicine (Internal Medicine) Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.