Active NPI
Advance Comprehensive Medical Care, PLLC
- Ambulatory Surgical Clinic/Center
- Flushing, NY
National Provider Identifier
1972749984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 173042
- Legal business name
- ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC
- Practice address
- 13259 41St Rd
Flushing, NY 11355-4257 - Phone
- (718) 358-3535
- Fax
- (718) 358-2072
- NPI assigned
- Dec 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jackson Kuan, M.D.
- Title
- President
- Phone
- (718) 358-3535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 173042 | NY | Primary |
Addresses
Primary practice location
13259 41St Rd
Flushing, NY 11355-4257
Mailing address
13259 41St Rd
Flushing, NY 11355-4257
Phone (718) 358-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01132241 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1841395100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229904000000",
"number": "1972749984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13259 41ST RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554257",
"telephone_number": "718-358-3535",
"fax_number": "718-358-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13259 41ST RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554257",
"telephone_number": "718-358-3535",
"fax_number": "718-358-2072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCE COMPREHENSIVE MEDICAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A",
"authorized_official_last_name": "KUAN",
"authorized_official_first_name": "JACKSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-358-3535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NY",
"license": "173042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01132241",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
- Michael Adler, D.O.
- Michele Adler, RN
- Mitchell Adler, DDS
- Denise Danielle Adrien
- Adult Care Psychology Services, PLLC (Adult Care Services)
- Advance Podiatry PC
- Advance Therapeutic Care Physical Therapy PC
- Advanced Best Care Dental, LLP (ABC Dental)
- Advanced Cardiovascular Imaging, PC
- Advanced Diagnostic Imaging PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.