Organization Active NPI

Medical Comprehensive Care P.C.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1881582708
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL COMPREHENSIVE CARE P.C.
Practice address
13630 Maple Ave Ste 2F
Flushing, NY 11355-3867
Phone
(929) 659-2232
NPI assigned
Jun 27, 2025
Last updated
Jun 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Joe Su, MDNPI 1982194262
Title
Physician
Phone
(646) 267-9142

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 Physician 207R00000X NU Primary

Addresses

Primary practice location

13630 Maple Ave Ste 2F
Flushing, NY 11355-3867

Mailing address

14474 Northern Blvd Apt PHH
Flushing, NY 11354-4588
Phone (646) 267-9142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028003580 NY Part B Supplier - Clinic/Group Practice 5991294167 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2339727Medical Comprehensive Care PC13630 Maple Ave Suite 2F, Flushing, NY 11355Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

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": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1881582708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14474 NORTHERN BLVD APT PHH",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544588",
            "telephone_number": "646-267-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553867",
            "telephone_number": "929-659-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COMPREHENSIVE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-267-9142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.