Individual provider Active NPI

Warren Wenjsair Hsu, D.O.

  • Allergy Physician
  • Oakland Gardens, NY
National Provider Identifier
1053473843
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
186109 Issued in NY
Practice address
21215 Union Tpke
Oakland Gardens, NY 11364-3519
Phone
(718) 217-8600
Fax
(718) 217-0926
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 186109 NY Primary

Addresses

Primary practice location

21215 Union Tpke
Oakland Gardens, NY 11364-3519

Mailing address

212-15 Union Tpke
Oakland Gardens, NY 11364-3519
Phone (718) 217-8600

Other identifiers 2

IdentifierTypeStateIssuer
186109OtherNYNY LICENSE #
G400001034OtherNYPTAN

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
I20050714000049 NY Practitioner - Internal MedicinePractitioner - Allergy/Immunology 9739115486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21215 Union Tpke
Oakland Gardens, NY 11364-3519
Phone (718) 217-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Mar 12, 2015 Accepting new patients
Flushing Hospital Medical Center CurrentSince Mar 12, 2015 Accepting new patients
Better Medical Care, P.C. Allergy CurrentSince Jan 2, 2000 Accepting new patients
Northside Medical Care LLP PastSince Sep 1, 2007 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

21215 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 217-8600

21820 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 217-8600

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1053473843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212-15 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643519",
            "telephone_number": "718-217-8600",
            "fax_number": "718-217-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21215 UNION TPKE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643519",
            "telephone_number": "718-217-8600",
            "fax_number": "718-217-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "WARREN",
        "middle_name": "WENJSAIR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "186109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE #",
            "identifier": "186109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G400001034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.