Individual provider Active NPI

Joe Su, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1982194262
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312207 Issued in NY
Practice address
13630 Maple Ave Ste 2F
Flushing, NY 11355-3867
Phone
(718) 799-0508
Fax
(718) 799-0509
NPI assigned
May 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 312207 NY Primary

Addresses

Primary practice location

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

Mailing address

13630 Maple Ave Ste 2F
Flushing, NY 11355-3867
Phone (718) 799-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320001087 NY Practitioner - Internal Medicine 4789106667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Medical and Diagnostic Center IncGroup PAC ID 9436041217, 14 clinicians

Practice addresses (Care Compare)

13630 Maple Ave
Suite 2F
Flushing, NY 11355-3867
Phone (929) 659-2232

8046 Kew Gardens Rd
Kew Gardens, NY 11415-1154
Phone (718) 261-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Comprehensive Care P.C. Single Specialty CurrentSince Aug 16, 2025 Accepting new patients
Jian Cui, Dermatology, P.C. Single Specialty CurrentSince Feb 6, 2025 Accepting new patients
New York University Internal Medicine PastSince Feb 6, 2025 Accepting new patients

Locations

6402 8th Ave
Ste 505
Brooklyn, NY 11220
Phone (718) 921-1620

13620 38th Ave
Ste 5H
Flushing, NY 11354
Phone (718) 661-1955

13630 Maple Ave
Ste 2F
Flushing, NY 11355
Phone (718) 461-7666

185 Canal St
Ste 201
New York, NY 10013
Phone (212) 233-3441

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1982194262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 MAPLE AVE STE 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553867",
            "telephone_number": "718-799-0508",
            "fax_number": "718-799-0509"
        },
        {
            "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": "718-799-0508",
            "fax_number": "718-799-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "312207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.