Organization Active NPI

Castle of Health Medical Office, P.C.

  • Primary Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1982800439
Registry record updated Jan 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
232861 Issued in NY
Legal business name
CASTLE OF HEALTH MEDICAL OFFICE, P.C.
Practice address
3916 Prince St Ste 351
Flushing, NY 11354-5361
Phone
(718) 358-6768
Fax
(718) 358-6783
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2016

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

Authorized official

Name
Dr. Yuan Yi Li, M.D.
Title
President
Phone
(718) 358-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 232861 NY Primary

Addresses

Primary practice location

3916 Prince St Ste 351
Flushing, NY 11354-5361

Mailing address

45 N Clover Dr
Great Neck, NY 11021-1013
Phone (718) 358-6768

Other identifiers 1

IdentifierTypeStateIssuer
02596647MedicaidNY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAADBA

Practitioners & affiliated clinicians

Practitioners 2

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452988800000",
    "number": "1982800439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N CLOVER DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211013",
            "telephone_number": "718-358-6768",
            "fax_number": "718-358-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE 351",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-358-6768",
            "fax_number": "718-358-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE OF HEALTH MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2016-01-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YUAN",
        "authorized_official_middle_name": "YI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-358-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "232861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02596647",
            "state": "NY"
        }
    ],
    "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 Jan 17, 2016; 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.