Active NPI
Jin Qiu, MD
- Family Medicine Physician
- New York, NY
National Provider Identifier
1801974142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 198620
- Practice address
- 141 E 55TH St Ste 4C
New York, NY 10022-4050 - Phone
- (212) 758-8851
- Fax
- (347) 527-9166
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA08299200 | NJ | |
| General Practice Physician | 208D00000X | NY198620 | NY | |
| Family Medicine Physician | 207Q00000X | 198620 | NY | Primary |
Addresses
Primary practice location
141 E 55TH St Ste 4C
New York, NY 10022-4050
Mailing address
141 E 55TH St
Suite # 10a
New York, NY 10022-4034
Phone (212) 758-8851
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134098707 | Other | NY | TAX ID |
| 198620 | Other | NY | NYS |
| 25MA08299200 | Other | NJ | NJ PRACTICE LOCATION |
Other names 1
- Dr. Ann Jin Qiu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08299200 | NJ | MD | Family Medicine Physician |
| 198620 | NY | MD | Family Medicine Physician |
| NY198620 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1801974142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 55TH ST",
"address_2": "SUITE # 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224034",
"telephone_number": "212-758-8851",
"fax_number": "347-527-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 55TH ST STE 4C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224050",
"telephone_number": "212-758-8851",
"fax_number": "347-527-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIU",
"first_name": "JIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA08299200",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "NY198620",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "198620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "134098707",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS",
"identifier": "198620",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ PRACTICE LOCATION",
"identifier": "25MA08299200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN JIN",
"last_name": "QIU",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.