Shidong Su, MD,PC
Shidong Su, MD,PC is a healthcare organization registered as Neurology Physician in Flushing, NY, holding Type 2 (organization) NPI 1467542530 since 2006. The authorized official on file is Shidong Su, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1467542530 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shidong Su, MD,PC |
| Practice address | 13621 ROOSEVELT AVE, SUITE 305, Flushing, NY, 11354 |
| Phone | 7188881803 |
| Fax | 7188880957 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Shidong Su |
|---|---|
| Title | Director |
| Phone | 7188881803 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084N0400X | Neurology Physician | Primary | 215043 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05353 | Other | NY | GHI-MEDICARE |
| 02159286 | Medicaid | NY | — |
Copy-ready billing details
Provider: Shidong Su, MD,PC NPI: 1467542530 Taxonomy: 2084N0400X (Neurology Physician) Address: 13621 ROOSEVELT AVE, SUITE 305, Flushing, NY, 11354
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801986500 | Yuping Chen | Individual | Internal Medicine Physician | Flushing, NY |
| 1295894624 | Cao & Chen LLP | Organization | Internal Medicine Physician | Flushing, NY |
| 1639404874 | Deepmala Vasdewani | Individual | Physical Therapist | Flushing, NY |
| 1467775916 | Cynthia Stich Pt P.C. | Organization | Physical Therapist | Flushing, NY |
| 1952614661 | Sanjeev Agarwal MD PC | Organization | Specialist | Flushing, NY |
| 1568889475 | Cao & Chen Medical LLP | Organization | Internal Medicine Physician | Flushing, NY |
Verify this record
Cross-check NPI 1467542530 against the authoritative CMS record: view Shidong Su, MD,PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Shidong Su, MD,PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.