NPIMap

Organization Active NPI

Nova Medical PLLC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1982984019
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237658 Issued in NY
Legal business name
NOVA MEDICAL PLLC
Practice address
16331 26TH Ave
Flushing, NY 11358-1009
Phone
(917) 650-5017
NPI assigned
Aug 21, 2011
Last updated
Aug 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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

Authorized official

Name
Diana Zheng, M.D.NPI 1952336877
Title
Principal
Phone
(917) 650-5017

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 237658 NY Primary

Addresses

Primary practice location

16331 26TH Ave
Flushing, NY 11358-1009

Mailing address

16331 26TH Ave
Flushing, NY 11358-1009
Phone (917) 650-5017

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000243 NY Part B Supplier - Clinic/Group Practice 5890968986 Receives reassigned benefits from 12 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory
Tax ID family
Nova Medical PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3712 Prince St
Ste 3C
Flushing, NY 11354
Phone (718) 380-7800

7144 160th St
Unit 1A
Flushing, NY 11365
Phone (718) 353-6283

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313884800000",
    "number": "1982984019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16331 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581009",
            "telephone_number": "917-650-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581009",
            "telephone_number": "917-650-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A",
        "authorized_official_last_name": "ZHENG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-650-5017",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237658",
            "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 Aug 21, 2011; 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.