Organization Active NPI

Queens OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Flushing, NY
National Provider Identifier
1801159033
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
233896 Issued in NY
Legal business name
QUEENS OB/GYN, P.C.
Practice address
4160 Main St
Suite 209
Flushing, NY 11355-3833
Phone
(718) 353-6622
Fax
(718) 353-6624
NPI assigned
Jun 21, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Yeh Ping Chou, D.O.
Title
President
Phone
(718) 986-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 233896 NY Primary

Addresses

Primary practice location

4160 Main St
Suite 209
Flushing, NY 11355-3833

Mailing address

3638 218TH St
Bayside, NY 11361-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000288 NY Part B Supplier - Clinic/Group Practice 3274789490 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13107 40th Rd
Ste E2
Flushing, NY 11354
Phone (718) 353-6622

4160 Main St
Ste 209
Flushing, NY 11355
Phone (718) 353-6622

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1801159033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 218TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST",
            "address_2": "SUITE 209",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553833",
            "telephone_number": "718-353-6622",
            "fax_number": "718-353-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS OB/GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "YEH",
        "authorized_official_middle_name": "PING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-986-8087",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "233896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.