NY FAMILY MEDICINE PC
NPI 1205563319
Family Medicine in Flushing, NY

Q: What is Ny Family Medicine PC's NPI number?

The NPI number for Ny Family Medicine PC is 1205563319. It was assigned to this organization in the NPPES registry on August 8, 2022.

Q: What is Ny Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 08, 2022CLIA 33D2276050 · Waiver

14809 NORTHERN BLVD STE 1K, FLUSHING, NY 11354(347) 506-0325(347) 506-0314 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ny Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NY FAMILY MEDICINE PC (NPI 1205563319) is a healthcare organization registered as a family medicine in Flushing, New York and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Daniel Doyoung Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1205563319

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNY FAMILY MEDICINE PC

Location Address14809 NORTHERN BLVD STE 1KFlushing, NY 11354-4308

Mailing Address14809 Northern Blvd Ste 1kFlushing, NY 11354-4308 · (347) 506-0325 · Fax (347) 506-0314

Phone(347) 506-0325

Fax(347) 506-0314

Organization SubpartNo

Authorized OfficialDaniel Doyoung ParkOwner · (347) 506-0325

Enumeration DateAugust 8, 2022

NPPES CertifiedAugust 8, 2022

✔ NPI 1205563319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14809 NORTHERN BLVD STE 1K, Flushing, NY 11354

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2276050

Ny Family Medicine PC · Flushing, NY

Active · expires Jan 31, 2027

CLIA Number33D2276050

Laboratory TypePhysician Office

Certificate Effective DateFebruary 1, 2025

Certificate Expiration DateJanuary 31, 2027

Laboratory DirectorDaniel Park

Laboratory Phone(347) 506-0325

Laboratory LocationNy Family Medicine PC148 09 Northern Blvd #1k, Flushing, NY 11354

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ny Family Medicine PC's NPI number?

The NPI number for Ny Family Medicine PC is 1205563319. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Ny Family Medicine PC located?

Ny Family Medicine PC is located at 14809 Northern Blvd Ste 1K, Flushing, NY 11354. The listed phone number is (347) 506-0325.

What is Ny Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ny Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2276050) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ny Family Medicine PC was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.