Phoenix Care LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PHOENIX CARE LLC

Practice address

133-36/38 41St Rd CS8
Flushing, NY 11355-3666

Phone

(917) 634-8851

Fax

(917) 634-8851

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Serene FengNPI 1851834741

Title

Owner

Phone

(718) 888-9087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Phoenix Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Care LLC

  • Acupuncturist
  • Flushing, NY
  • NPI 1447071618
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xiaoming Gao, PT

  • Physical Therapist
  • Middletown, NY
  • NPI 1366743874
  Medicare reassignment NPD
• Serene Feng

  • Acupuncturist
  • Flushing, NY
  • NPI 1851834741
  NPD Authorized official
• Chuan Xiao

  • Acupuncturist
  • Middletown, NY
  • NPI 1912660499
  NPD (past)
• Guiying Zhang

  • Acupuncturist
  • Flushing, NY
  • NPI 1467168237
  NPD (past)
• Yali Zhu, LAC.

  • Acupuncturist
  • Middletown, NY
  • NPI 1144935453
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1821819368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133-36/38 41ST RD CS8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133-36/38 41ST RD CS8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553666",
            "telephone_number": "917-634-8851",
            "fax_number": "917-634-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "SERENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-888-9087"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avian Pham, MD
• PHD Pharmaceutical Services Inc (PHD Pharmacy)
• Philam Physical Therapy PC
• Susan Phillips, NP
• Phoenix Care LLC
• Phoenix Wellness Acupuncture and Massage PC
• Kathleen Phung, MD
• Physical Therapy of North Queens PC.,
• Debra Pianin
• Pick Me Up, Corp.

• Health Service Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.