OrganizationActive
Shidong Su, Md,pc
NPI 1467542530 · Neurology Physician · Flushing, NY
Shidong Su, Md,pc is a Neurology Physician organization in Flushing, NY (NPI 1467542530).
Provider details
- NPI number
- 1467542530
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shidong Su, Director(718) 888-1803
- License
- 215043 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13621 Roosevelt Ave
Suite 305
Flushing, NY 11354-5507
Phone: (718) 888-1803
Fax: (718) 888-0957
Street-level locationGet directions
Mailing address
13621 Roosevelt Ave
Flushing, NY 11354-5507
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shidong Su, Md,pc's NPI number?
- Shidong Su, Md,pc's National Provider Identifier (NPI) is 1467542530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shidong Su, Md,pc?
- Shidong Su, Md,pc is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Shidong Su, Md,pc located?
- Shidong Su, Md,pc's practice location on file with NPPES is 13621 Roosevelt Ave, Flushing, NY 11354-5507.
- What is Shidong Su, Md,pc's phone number?
- The practice phone number listed in the NPPES registry for Shidong Su, Md,pc is (718) 888-1803.
- Who is the authorized official for Shidong Su, Md,pc?
- The authorized official listed on Shidong Su, Md,pc's NPPES record is Shidong Su, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shidong Su, Md,pc's NPI active?
- Yes — Shidong Su, Md,pc's NPI (1467542530) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.