Desmond Cheng, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05869700 Issued in NJ

Practice address

1 Somerdale SQ
Somerdale, NJ 08083-1345

Phone

(856) 309-7700

Fax

(856) 566-8944

NPI assigned

Jun 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Dubois Regional Medical Center

  dba Penn Highlands DuBois

  • Pharmacy
  • Ridgway, PA
  • NPI 1366900458
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073541744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARLBORO AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022020",
            "telephone_number": "856-661-1515",
            "fax_number": "856-661-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOMERDALE SQ",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831345",
            "telephone_number": "856-309-7700",
            "fax_number": "856-566-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "DESMOND",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05869700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Budman, DPM
• Camden County Suboxone LLC (Camden County Suboxone)
• Michael Steven Cappuccilli, D.D.S.
• Care by Your Side
• Everett Thomas Chadwick, RNFA
• CMD Mental Health Professional, Inc (The Listening Center)
• Sean W. Comp, PT, DPT
• Dag Somerdale, P.C.
• Crystal Digiacomo, MS, RD
• Jennifer Lisa Dougan, REGISTERED NURSE

• Family Medicine Physician in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.