JUSTIN ZHAO (NPI# 1730684564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730684564 |
| Entity Type | Individual |
| Full Name | JUSTIN ZHAO |
| Practice Address |
270-05 76th Ave New Hyde Park NY 11040 |
| Mailing Address |
8 Beard St Staten Island NY 10314-6223 |
| Practice Telephone | 5164707873 |
| Mailing Telephone | 3472154872 |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
270-05 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477514644 | Oleg A Vishnyak | Physician Assistant | 270-05 76th Ave, Suite 0-4000, New Hyde Park, NY 11040 | 2006-03-29 |
| 1013536176 | Vivek Muktesh Mehta | Student in an Organized Health Care Education/Training Program | 270-05 76th Ave, Research Building C Level Room 039ab, New Hyde Park, NY 11040-1402 | 2020-04-09 |
| 1295363158 | Bosi Zhang | Student in an Organized Health Care Education/Training Program | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2020-03-27 |
| 1881150688 | Nicholas John Montanaro | Student in an Organized Health Care Education/Training Program | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2019-02-17 |
| 1356823777 | William Heuser | Pharmacist | 270-05 76th Ave, New Hyde Park, NY 11040 | 2018-09-01 |
| 1518446186 | Gela Gelashvili | Physician Assistant | 270-05 76th Ave, New Hyde Park, NY 11040 | 2018-08-14 |
| 1528556289 | Aisha Khokhar | Student in an Organized Health Care Education/Training Program | 270-05 76th Ave, New Hyde Park, NY 11040 | 2018-04-27 |
| 1487167094 | Ruth Sarai Walter | Physician Assistant | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2017-11-06 |
| 1386176360 | Veronika Blinder | Student in an Organized Health Care Education/Training Program | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2017-03-30 |
| 1023562683 | Sandra Ambro | Physician Assistant | 270-05 76th Ave, New Hyde Park, NY 11040-1402 | 2016-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893371 | Manreet Kaur | Clinic/Center | 6140 166th St, Flushing, NY 11365-2165 | 2020-05-28 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1528611084 | Hudson Headwaters Health Network | Clinic/Center | 27 Hyland Dr, Lake Luzerne, NY 12846-3923 | 2019-07-23 |
| 1639635535 | Montefiore Medical Center | Clinic/Center | 1619 Boston Rd, Bronx, NY 10460-4945 | 2019-02-15 |
| 1316412513 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, Room 108, Bronx, NY 10457 | 2018-10-04 |
| 1902392749 | Montefiore Medical Center | Clinic/Center | 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 | 2018-07-05 |
| 1700372687 | Montefiore Medical Center | Clinic/Center | 456 White Plains Rd, Bronx, NY 10473-2436 | 2018-07-03 |
| 1477040566 | Montefiore Medical Center | Clinic/Center | 3710 Barnes Ave, Bronx, NY 10467-5808 | 2018-04-16 |
| 1699287920 | Montefiore Medical Center | Clinic/Center | 1002 Teller Ave, Bronx, NY 10456-6105 | 2017-10-26 |
| 1093253163 | Una Jane Victoria Allen | Clinic/Center | 2811 Queens Plz N # 402, Long Island City, NY 11101-4008 | 2017-02-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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| 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.