MERRIDERM DERMATOLOGY PLLC


Address: 3644 Main St # 2ndfl, Flushing, NY 11354-4105
Phone: 3477320690

MERRIDERM DERMATOLOGY PLLC (NPI# 1255775227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255775227
Entity Type Organization
Organization Name MERRIDERM DERMATOLOGY PLLC
Practice Address 3644 Main St # 2ndfl
Flushing
NY 11354-4105
Practice Telephone 3477320690
Practice Fax Number 3477320691
Mailing Telephone 3477320690
Mailing Fax Number 3477320691
Enumeration Date 2013-04-22
Last Update Date 2013-11-12
Authorized Official Name WENHONG ZHOU (PRESIDENT/OWNER)
Authorized Official Telephone 3477320690
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
266027 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 03509437 05

Office Location

Street Address 3644 MAIN ST # 2NDFL
City FLUSHING
State NY
Zip Code 11354-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952558504 Wenhong Zhou Dermatology 3644 Main St # 2ndfl, Flushing, NY 11354-4105 2008-08-26

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NPI Name Taxonomy Address Enumeration
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1922658087 Xiaoyan Fei Social Worker Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 2019-09-19
1235797655 Life Improvement Homecare, Inc. Durable Medical Equipment & Medical Supplies 38-08 Union Street, Suite 2j, Flushing, NY 11354 2019-05-31
1497214985 Justin Young Lee Registered Nurse 143-23 38th Ave, Apt 2c, Flushing, NY 11354 2019-03-14
1669930962 Jacqueline Nicole Liu Student in an Organized Health Care Education/Training Program 29-30 138th Street, Apartment 3f, Flushing, NY 11354 2019-03-05
1275003378 Janet Poon Pharmacist 35-19 Leavitt St., #51, Flushing, NY 11354 2018-11-30
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1063990687 Harmony Care Physical Therapy PC Clinic/Center 35-05 Farrington Street, Ste A, Flushing, NY 11354 2018-08-06
1356827604 Theresa S Cheung Nurse Practitioner 39-07 Prince St, Ste 3h, Flushing, NY 11354 2018-07-18
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598259996 Ds Medical Diagnostics PC Clinic/Center 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 2018-06-19
1417294406 Forever Medical PC Clinic/Center 14031 Cherry Ave Apt 1a, Flushing, NY 11355-3168 2013-01-10
1548520927 Tong Li, M.d.,pc Clinic/Center 14211 37th Ave, Flushing, NY 11354-4102 2012-05-20
1104133792 Dr Hong's Medical PC Clinic/Center 14205 Roosevelt Ave Ste 109, Flushing, NY 11354-6005 2010-09-03
1316261563 Dqs Cardiac and Vascular Services, P.C. Clinic/Center 194-13 Northern Blvd., Flushing, NY 11358 2010-03-17
1225290968 Yosef J. Morad, M.d. P.C. Clinic/Center 6854 Main St, Flushing, NY 11367-1325 2008-06-25
1689033821 Gu & Gao Medical Pllc Clinic/Center 13668 Roosevelt Ave Ste 4c, Flushing, NY 11354-5510 2016-02-16
1306223441 Dr Yang Integrated Medicine PC Clinic/Center 4235 Main St Ste 3k, Flushing, NY 11355-3956 2015-04-27
1124381983 Jun Yang Kidney Care PC Clinic/Center 13443 Maple Ave Ste C1d, Flushing, NY 11355-4527 2012-06-18
1467774588 Vogue Plastic Surgery Clinic/Center 13620 38th Ave Ste 8f, Flushing, NY 11354-4233 2010-02-16
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Competitor

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City FLUSHING
Zip Code 11354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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