Individual provider Active NPI

Iris Tsung, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1043303639
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
201017 Issued in NY
Practice address
246 Grand St FL 2
New York, NY 10002-4943
Phone
(212) 334-9898
Fax
(212) 334-0438
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 201017 NY Primary

Addresses

Primary practice location

246 Grand St FL 2
New York, NY 10002-4943

Mailing address

246 Grand St FL 2
New York, NY 10002-4943
Phone (212) 334-9898

Other identifiers 1

IdentifierTypeStateIssuer
01761637MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000135 NY Practitioner - Obstetrics/Gynecology 3375629959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health and Wellness Medical Associates PLLCGroup PAC ID 6305736448, 2 clinicians

Practice addresses (Care Compare)

244 Grand St
FL 6
New York, NY 10002-4937
Phone (212) 334-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201017NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health & Wellness Medical Associates PLLC Obstetrics & Gynecology CurrentSince Jul 19, 2001 Accepting new patients

Locations

244 Grand St
Fl 6
New York, NY 10002
Phone (212) 334-9898

246 Grand St
Fl 2
New York, NY 10002
Phone (212) 334-9898

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1043303639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 GRAND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024943",
            "telephone_number": "212-334-9898",
            "fax_number": "212-334-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GRAND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024943",
            "telephone_number": "212-334-9898",
            "fax_number": "212-334-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUNG",
        "first_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "201017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.