| Nova Medical Pllc | |
|
16331 26th Ave Flushing NY 11358-1009 | |
| (917) 650-5017 | |
| Not Available |
| Full Name | Nova Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16331 26th Ave, Flushing, New York |
| Authorized Official Name and Position | Diana Zheng (PRINCIPAL) |
| Authorized Official Contact | 9176505017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Pllc 16331 26th Ave Flushing NY 11358-1009 Ph: (917) 650-5017 | Nova Medical Pllc 16331 26th Ave Flushing NY 11358-1009 Ph: (917) 650-5017 |
| NPI Number | 1982984019 |
|---|---|
| Provider Enumeration Date | 08/21/2011 |
| Last Update Date | 08/21/2011 |
| Medicare PECOS PAC ID | 5890968986 |
|---|---|
| Medicare Enrollment ID | O20111107000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982984019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 237658 (New York) | Primary |
| Provider Name | Diana D Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952336877 PECOS PAC ID: 7012006117 Enrollment ID: I20071127000546 |
| Provider Name | Kimmarie Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215151055 PECOS PAC ID: 9234300245 Enrollment ID: I20120615000083 |
| Provider Name | Huiwen Ying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093051302 PECOS PAC ID: 7416194519 Enrollment ID: I20130509000228 |
| Provider Name | Su Jin Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894931 PECOS PAC ID: 3678891405 Enrollment ID: I20150407002049 |
| Provider Name | Christina Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720321722 PECOS PAC ID: 8921326323 Enrollment ID: I20150922002129 |
| Provider Name | Rhodora M Arcilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942606074 PECOS PAC ID: 6103121751 Enrollment ID: I20160219001484 |
| Provider Name | Eileen Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073816526 PECOS PAC ID: 9931468022 Enrollment ID: I20180118000130 |
| Provider Name | Hung Huan Hsin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942704184 PECOS PAC ID: 2961750930 Enrollment ID: I20180808000016 |
| Provider Name | Toman Pang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457847022 PECOS PAC ID: 1456600709 Enrollment ID: I20180820001345 |
| Provider Name | Xue Gao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598381535 PECOS PAC ID: 7517383656 Enrollment ID: I20200819002294 |
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