Individual provider Active NPI

Janice M Cheung, PA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1063783058
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
015294 Issued in NY
Practice address
169 Madison Ave Ste 15370
New York, NY 10016-5101
Phone
(844) 484-7362
NPI assigned
Jan 23, 2012
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13467 MN
Physician Assistant 363A00000X 50.007673RX OH
Medical Physician Assistant 363AM0700X 015294 NY Primary

Addresses

Primary practice location

169 Madison Ave Ste 15370
New York, NY 10016-5101

Mailing address

169 Madison Ave Ste 15370
New York, NY 10016-5101
Phone (844) 484-7362

Other practice location 1

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, MN, KS, CA, CO, RI, IN, TN, WI, IL, OH12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20121214000009 NY Practitioner - Physician Assistant 1850543075 Reassigns benefits to 2 organizations
I20160418001477 TX Practitioner - Physician Assistant 1850543075 Reassigns benefits to 5 organizations
I20210215000788 MN Practitioner - Physician Assistant 1850543075 Reassigns benefits to 2 organizations
I20230923000116 KS Practitioner - Physician Assistant 1850543075 Reassigns benefits to 1 organization
I20231005001694 CA Practitioner - Physician Assistant 1850543075 Reassigns benefits to 1 organization
I20231005003664 CO Practitioner - Physician Assistant 1850543075 Reassigns benefits to 1 organization
I20231011000864 RI Practitioner - Physician Assistant 1850543075
I20231115001504 IN Practitioner - Physician Assistant 1850543075 Reassigns benefits to 2 organizations
I20231116002110 TN Practitioner - Physician Assistant 1850543075
I20231120001975 WI Practitioner - Physician Assistant 1850543075
I20231120002102 IL Practitioner - Physician Assistant 1850543075 Reassigns benefits to 1 organization
I20231122003373 OH Practitioner - Physician Assistant 1850543075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015294NYMDPsychologist
50.007673RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Physician Assistant CurrentSince Oct 10, 2023 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Jun 1, 2016 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Nes Medical Services of New York PC CurrentSince Nov 1, 2012 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Allina Health System CurrentSince Feb 21, 2021 Accepting new patients
Imaging Resource Centers LTD Past Accepting new patients
Harris County Hospital District Past Accepting new patients
Harris County Hospital District Past Accepting new patients
Primary Home Health Texas LLC Past Accepting new patients
Bimc Faculty Practice Physician Assistant Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Lightning Mobility Evaluations, LLC PastSince Jun 1, 2021 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

121 Washington Ave N
Minneapolis, MN 55401
Phone (612) 424-0434

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

455 E Bay Dr
Long Beach, NY 11561
Phone (516) 432-8000

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

Networks

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

Organizations & group practices 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1063783058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15370",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "844-484-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15370",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "844-484-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "612-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13467",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007673RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.