Northern Community Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

136789 Issued in NY

Legal business name

NORTHERN COMMUNITY MEDICAL PC

Practice address

4522 162ND St
Flushing, NY 11358-3280

Phone

(718) 463-0101

Fax

(718) 460-2009

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Won Cho, M.D.

Title

President

Phone

(718) 463-0101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1992944524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WYCKOFF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375303",
            "telephone_number": "718-463-0101",
            "fax_number": "718-460-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583280",
            "telephone_number": "718-463-0101",
            "fax_number": "718-460-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COMMUNITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Flushing Primary Medical Care PC
• North Shore Queens Medical Associates PLLC
• Northern Anesthesia Services, PLLC
• Northern Boulevard Imaging, MDPC
• Northern Boulevard Radiation Oncology LLP
• Northern Eye Care, Inc.
• Northern Immediate Medical PLLC
• Northern Inerventional Medical LLC
• Northern Interventional Medical PC
• Northern Medical PLLC

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.