Organization Active NPI

Ivy Medical Services PC

  • Specialist
  • Flushing, NY
National Provider Identifier
1982809836
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IVY MEDICAL SERVICES PC
Practice address
3808 Union St Apt 3J
Flushing, NY 11354-5500
Phone
(718) 321-3522
Fax
(718) 321-3533
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Dr. Qiong Wu I, MDNPI 1992763916
Title
Attending
Phone
(718) 321-3522

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3808 Union St Apt 3J
Flushing, NY 11354-5500

Mailing address

15 Round Hill Rd
Great Neck, NY 11020-1212
Phone (718) 321-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221000306 NY Part B Supplier - Clinic/Group Practice 2264490440 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13527 38th Ave
Ste 338
Flushing, NY 11354
Phone (718) 321-3522

3808 Union St
Ste 3J
Flushing, NY 11354
Phone (718) 321-3522

185 Canal St
#303
New York, NY 10013
Phone (212) 966-8216

Practitioners & affiliated clinicians

Practitioners 3

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1982809836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROUND HILL RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201212",
            "telephone_number": "718-321-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST APT 3J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545500",
            "telephone_number": "718-321-3522",
            "fax_number": "718-321-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "QIONG",
        "authorized_official_title_or_position": "ATTENDING",
        "authorized_official_telephone_number": "718-321-3522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.