Sanford NP in Adult Health PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

307053-1 Issued in NY

Legal business name

SANFORD NP IN ADULT HEALTH PC

Practice address

14454 Sanford Ave Apt 18
Flushing, NY 11355-1620

Phone

(646) 220-3234

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Rong Li, NP

Title

Chief Officer

Phone

(646) 220-3234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1902301997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9148 GOLD RD",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172417",
            "telephone_number": "646-220-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14454 SANFORD AVE APT 18",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551620",
            "telephone_number": "646-220-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD NP IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "RONG",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "646-220-3234",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "307053-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Family Dental Care, P.C.
• Sanford Family Medical Practice PC
• Sanford Home Care
• Sanford Home for Adults LLC
• Sanford Medical Care, PLLC
• Sanford Pharmacy, Inc
• Sanford Physical Therapy and Acup PLLC
• Sang Kee Pahk MD PC
• Koky Sang, MD
• Sangwoo Mah, D.C., P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.