Individual provider Active NPI

Rui ER Teng, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1104028067
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
244900 Issued in NY
Practice address
6805 Fort Hamilton Pkwy FL 1
Brooklyn, NY 11219-5856
Phone
(718) 836-8886
Fax
(718) 836-8885
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 244900 NY Primary

Addresses

Primary practice location

6805 Fort Hamilton Pkwy FL 1
Brooklyn, NY 11219-5856

Mailing address

66 87TH St
Brooklyn, NY 11209-4216
Phone (718) 836-8886

Other names 1

  • Rui ER Li Former name

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
I20071102000239 NY Practitioner - Family Practice 5991892259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6805 Fort Hamilton Pkwy
FL 1
Brooklyn, NY 11219-5856
Phone (917) 968-9406

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Star Medical P.C. CurrentSince Sep 19, 2007 Accepting new patients

Locations

6805 Fort Hamilton Pkwy
#1
Brooklyn, NY 11219
Phone (718) 836-8886

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEHAA/Endpoint/FFEHAA

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1104028067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 87TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094216",
            "telephone_number": "718-836-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FORT HAMILTON PKWY FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195856",
            "telephone_number": "718-836-8886",
            "fax_number": "718-836-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "RUI ER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUI ER",
            "last_name": "LI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.