Organization Active NPI

Ctu Medical PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1003141573
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
204223 Issued in NY
Legal business name
CTU MEDICAL PC
Practice address
837 58TH St FL 5TH
Brooklyn, NY 11220-3662
Phone
(718) 853-2828
Fax
(718) 975-0040
NPI assigned
Oct 16, 2009
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wellman Cheung, MDNPI 1548264005
Title
Director
Phone
(718) 853-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 204223 NY Primary

Addresses

Primary practice location

837 58TH St FL 5TH
Brooklyn, NY 11220-3662

Mailing address

837 58TH St FL 5
Brooklyn, NY 11220-3662
Phone (718) 853-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000083 NY Part B Supplier - Clinic/Group Practice 7113068818 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2018482Ctu Medical PC837 58TH Street 5TH Floor, Brooklyn, NY 11220ComplianceApr 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1003141573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 58TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-853-2828",
            "fax_number": "718-975-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH ST FL 5TH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-853-2828",
            "fax_number": "718-975-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTU MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "WELLMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-853-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "204223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.