Organization Active NPI

Wellsure Medical Practice P.C.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1841784733
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLSURE MEDICAL PRACTICE P.C.
Practice address
3712 Prince St Ste 8D
Flushing, NY 11354-4652
Phone
(718) 888-0722
Fax
(718) 888-0744
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Authorized official

Name
Ziqiang Zhu, MDNPI 1477978286
Title
Ceo
Phone
(718) 888-0722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

3712 Prince St Ste 8D
Flushing, NY 11354-4652

Mailing address

3712 Prince St Ste 8D
Flushing, NY 11354-4652
Phone (718) 888-0722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180911001812 NY Part B Supplier - Clinic/Group Practice 0941550099 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

3712 Prince St
Ste 8D
Flushing, NY 11354
Phone (718) 888-0722

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690070400000",
    "number": "1841784733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 8D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544652",
            "telephone_number": "718-888-0722",
            "fax_number": "718-888-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 8D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544652",
            "telephone_number": "718-888-0722",
            "fax_number": "718-888-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSURE MEDICAL PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "ZIQIANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-888-0722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "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 Jul 23, 2023; 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.