Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Johnathan Ly, MD

Individual provider Emergency Medicine Physician · NPI 1396123717

Dr. Johnathan Ly, MD is an Emergency Medicine in Flushing, New York. Graduated from New York Medical College in 2015, 11 years ago. Practices with Emergency Physicians Associates Fremont PC, a 32-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
New York Medical College
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5645 Main St Emergency Dept
Flushing, NY 11355
Phone: (718) 670-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 292237 (NY)

Record details

NPI number1396123717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2015
Last updated in NPPESAugust 29, 2019
Mailing address50 Saratoga Ave, Santa Clara, CA 95051-7387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2015 (11 years in practice)
Group practice Emergency Physicians Associates Fremont Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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