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

LONG COAST MEDICAL PLLC
NPI 1861213373
Internal Medicine in Flushing, NY

Active since October 18, 2024CLIA 33D2319357 · Waiver
13636 39TH AVE STE 7, FLUSHING, NY 11354(347) 750-0000(516) 203-8973 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long Coast Medical Pllc NPPES

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

LONG COAST MEDICAL PLLC (NPI 1861213373) is a healthcare organization registered as an internal medicine in Flushing, New York and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Wan Tu, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1861213373
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLONG COAST MEDICAL PLLC
Location Address13636 39TH AVE STE 7Flushing, NY 11354-5576
Mailing Address13636 39th Ave Ste 7Flushing, NY 11354-5576 · (347) 750-0000 · Fax (516) 203-8973
Phone(347) 750-0000
Fax(516) 203-8973
Organization SubpartNo
Authorized OfficialWan TuManaging Member · (347) 750-0000
Enumeration DateOctober 18, 2024
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1861213373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13636 39TH AVE STE 7, Flushing, NY 11354
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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Coast Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Long Coast Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dana Chen, NP
Nurse Practitioner
NPI 1366035685
13636 39TH AVE
Flushing, NY 11354
(347) 750-0000
✔ PECOSSame address
Wan Tu, MD
Internal Medicine
NPI 1932762051
13636 39TH AVE STE 7
Flushing, NY 11354
(347) 750-0000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2319357

Long Coast Medical PLLC · Flushing, NY
Active · expires Feb 26, 2027
CLIA Number33D2319357
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorTu Wan
Laboratory Phone(718) 813-6391
Laboratory LocationLong Coast Medical PLLC136-36 39th Ave 7th Fl, Flushing, NY 11354
CLIA data matches this NPI record on: Name
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 Long Coast Medical PLLC's NPI number?

The NPI number for Long Coast Medical PLLC is 1861213373. It was assigned to this organization in the NPPES registry on October 18, 2024.

Where is Long Coast Medical PLLC located?

Long Coast Medical PLLC is located at 13636 39th Ave Ste 7, Flushing, NY 11354. The listed phone number is (347) 750-0000.

What is Long Coast Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Long Coast Medical PLLC enrolled in Medicare?

Yes. Long Coast Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Coast Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Long Coast Medical PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Coast Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2319357) is associated with this NPI, valid through February 26, 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 Long Coast Medical PLLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.