1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Pediatrics
  6. NPI Profile

TOTAL CARE PEDIATRIC, PLLC
NPI 1619508900
Pediatrics in Flushing, NY

Active since January 27, 2020CLIA 33D0714822 · Waiver
4265 KISSENA BLVD, SUITE LL4, FLUSHING, NY 11355(718) 353-2300 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Jan 27, 2020 (2 updates tracked since 2020).

About Total Care Pediatric, Pllc NPPES

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

TOTAL CARE PEDIATRIC, PLLC (NPI 1619508900) is a healthcare organization registered as a pediatrics in Flushing, New York and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Chak Wong, Member, as its authorized official.

NPPES Registry Identity

NPI1619508900
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTOTAL CARE PEDIATRIC, PLLC
Location Address4265 KISSENA BLVD, SUITE LL4Flushing, NY 11355-3273
Mailing Address4265 Kissena Blvd, Suite Ll4Flushing, NY 11355-3273 · (718) 353-2300 · Fax (718) 353-2454
Phone(718) 353-2300
Organization SubpartNo
Authorized OfficialChak WongMember · (718) 323-2300
Enumeration DateJanuary 27, 2020
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1619508900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4265 KISSENA BLVD, Flushing, NY 11355
Open in Google Maps ↗

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 33D0714822

Total Care Pediatric PLLC · Flushing, NY
Active · expires Jan 11, 2027
CLIA Number33D0714822
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorDr. Alice C. Lau
Laboratory Phone(718) 353-2300
Laboratory LocationTotal Care Pediatric PLLC42-65 Kissena Boulevard, Ll 4, Flushing, NY 11355
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEITUNG SU
Physical Therapy Assistant
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (718) 461-1365
CHINATOWN MEDICAL IMAGING CENTER
Radiology (Diagnostic Radiology)
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (718) 461-1365
NATUROMEDICAL SERVICE
Rehabilitation Practitioner
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (718) 461-1365
DONG-YUN WANG IV
Physical Therapy Assistant
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (718) 461-1365
DR. ALICE LAU M.D.
Pediatrics
4265 KISSENA BLVD, L4
FLUSHING, NY 11355
Queens County (718) 353-2300
CHARMI DIVYANG PATEL P.T
Physical Therapist
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (516) 754-4666
MS. ANGELIZA DELA MERCED ARCIAGA PR
Physical Therapist
4265 KISSENA BLVD
FLUSHING, NY 11355
Queens County (718) 461-1365
CHAK SHUI WONG
Pediatrics
4265 KISSENA BLVD, SUITE LL4
FLUSHING, NY 11355
Queens County (718) 353-2300

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 Total Care Pediatric, PLLC's NPI number?

The NPI number for Total Care Pediatric, PLLC is 1619508900. It was assigned to this organization in the NPPES registry on January 27, 2020.

Where is Total Care Pediatric, PLLC located?

Total Care Pediatric, PLLC is located at 4265 Kissena Blvd Suite Ll4, Flushing, NY 11355. The listed phone number is (718) 353-2300.

What is Total Care Pediatric, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Total Care Pediatric, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0714822) is associated with this NPI, valid through January 11, 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 Total Care Pediatric, PLLC was last updated on January 25, 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.