Provider Demographics
NPI:1053325514
Name:JIAN CUI, DERMATOLOGY, P.C.
Entity Type:Organization
Organization Name:JIAN CUI, DERMATOLOGY, P.C.
Other - Org Name:JAMES JIAN CUI, MD, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JIAN
Authorized Official - Last Name:CUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-661-9554
Mailing Address - Street 1:3907 PRINCE ST
Mailing Address - Street 2:SUITE 6H
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5399
Mailing Address - Country:US
Mailing Address - Phone:718-661-9554
Mailing Address - Fax:718-661-9556
Practice Address - Street 1:3907 PRINCE ST
Practice Address - Street 2:SUITE 6H
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5399
Practice Address - Country:US
Practice Address - Phone:718-661-9554
Practice Address - Fax:718-661-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206610207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
02788Medicare ID - Type Unspecified
05U171Medicare ID - Type Unspecified
G15583Medicare UPIN