154 NORTHERN MEDICAL PRACTICE
NPI 1710311691
Clinic/Center - Ambulatory Surgical in Flushing, NY

Active since August 27, 2013
15408 NORTHERN BLVD, SUITE 2K, FLUSHING, NY 11354(718) 445-0200 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 154 Northern Medical Practice NPPES

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

154 NORTHERN MEDICAL PRACTICE (NPI 1710311691) is a healthcare organization registered as an ambulatory surgical in Flushing, New York and active in the NPI registry since August 2013. The organization lists Joon Mo Myung, Owner, as its authorized official.

NPPES Registry Identity

NPI1710311691
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business Name154 NORTHERN MEDICAL PRACTICE
Location Address15408 NORTHERN BLVD, SUITE 2KFlushing, NY 11354-5040
Mailing Address15408 Northern Blvd, Suite 2kFlushing, NY 11354-5040
Organization SubpartNo
Authorized OfficialJoon Mo MyungOwner · (718) 445-0200
Enumeration DateAugust 27, 2013
NPI 1710311691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
15408 NORTHERN BLVD, Flushing, NY 11354

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.

Nurse Practitioner (Acute Care)
15408 NORTHERN BLVD, #2K
FLUSHING, NY 11354
Internal Medicine (Gastroenterology)
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Internal Medicine
15408 NORTHERN BLVD, STE 2I
FLUSHING, NY 11354
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354
Internal Medicine (Gastroenterology)
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354
Anesthesiology
15408 NORTHERN BLVD, SUITE 2K
FLUSHING, NY 11354
Physical Therapist
15408 NORTHERN BLVD, 2F
FLUSHING, NY 11354

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 154 Northern Medical Practice's NPI number?

The NPI number for 154 Northern Medical Practice is 1710311691. It was assigned to this organization in the NPPES registry on August 27, 2013.

Where is 154 Northern Medical Practice located?

154 Northern Medical Practice is located at 15408 Northern Blvd Suite 2K, Flushing, NY 11354. The listed phone number is (718) 445-0200.

What is 154 Northern Medical Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for 154 Northern Medical Practice was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.