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CASTLE OF HEALTH MEDICAL OFFICE P.C. NPI 1982800439


NPI Information

NPI: 1982800439
Provider Name: CASTLE OF HEALTH MEDICAL OFFICE, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D1036142

Address:
3916 PRINCE ST STE 351
FLUSHING, NY
ZIP 11354
Phone: (718) 358-6768
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CASTLE OF HEALTH MEDICAL OFFICE, P.C. is a primary care clinic center in Flushing, NY. CASTLE OF HEALTH MEDICAL OFFICE, P.C. NPI is 1982800439. The provider is registered as an organization entity type.

The provider's business location address is:

3916 PRINCE ST STE 351
FLUSHING, NY
ZIP 11354-361
Phone: (718) 358-6768
Fax: (718) 358-6783

The provider's authorized official is Yuan Yi Li .
The authorized official title is President and has the following contact phone number (718) 358-6768.

The CLIA number assigned to this NPI record is 33D1036142 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 1/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care232861NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107225MEDICARE PINNEW YORK
2I22898MEDICARE UPINNEW YORK
302596647MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.