NPIMap

Organization Active NPI

Advanced Hematology Oncology, PLLC

  • Clinic Pharmacy
  • Flushing, NY
National Provider Identifier
1891334884
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
ADVANCED HEMATOLOGY ONCOLOGY, PLLC
Practice address
4235 Main St Ste 3H
Flushing, NY 11355-3969
Phone
(718) 321-0381
NPI assigned
Dec 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Zili He, MDNPI 1598709388
Title
Owner
Phone
(718) 321-0381

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
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

4235 Main St Ste 3H
Flushing, NY 11355-3969

Mailing address

4235 Main St Ste 3H
Flushing, NY 11355-3969
Phone (718) 321-0381

Other identifiers 2

IdentifierTypeStateIssuer
03238277MedicaidNY
02693887MedicaidNY

Other names 1

  • Advanced Hematology Oncology Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Hematology Oncology2 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.

Locations

4235 Main St
Ste 3H
Flushing, NY 11355
Phone (718) 321-0381

Practitioners & affiliated clinicians

Practitioners 1

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": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1891334884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 3H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-321-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST STE 3H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-321-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEMATOLOGY ONCOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "ZILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-321-0381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03238277",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02693887",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hematology Oncology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.