Individual provider Active NPI

Justin Zhuo, MD

  • Gastroenterology Physician
  • Flushing, NY
National Provider Identifier
1811458359
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
335642-01 Issued in NY
Practice address
3808 Union St Ste 3N
Flushing, NY 11354-5670
Phone
(718) 886-6292
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 335642-01 NY Primary

Addresses

Primary practice location

3808 Union St Ste 3N
Flushing, NY 11354-5670

Mailing address

3808 Union St Ste 3N
Flushing, NY 11354-5670
Phone (718) 886-6292

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103002000 NY Practitioner - Gastroenterology 8628568219 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Duke University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20317 56TH Ave
Oakland Gardens, NY 11364-1641

3808 Union St
Flushing, NY 11354-5543

3808 Union St
Suite 3N
Flushing, NY 11354-5670
Phone (718) 886-6495

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
335642-01NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lumen Medical Endoscopy LLC Gastroenterology Current Accepting new patients

Locations

3808 Union St
Ste 3N
Flushing, NY 11354
Phone (516) 238-6855

Organizations & group practices 1

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1811458359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 3N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545670",
            "telephone_number": "718-886-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 3N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545670",
            "telephone_number": "718-886-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUO",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "335642-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.