Active NPI
Niels Manu Dua, MD
- Emergency Medicine Physician
- Astoria, NY
National Provider Identifier
1124051313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 211446
- Practice address
- 3274 Steinway St
Astoria, NY 11103-4006 - Phone
- (860) 997-4957
- Fax
- (718) 721-0122
- NPI assigned
- Jul 9, 2006
- Reactivated
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 211446 | NY | Primary |
Addresses
Primary practice location
3274 Steinway St
Astoria, NY 11103-4006
Mailing address
3274 Steinway St
Astoria, NY 11103-4006
Phone (860) 997-4957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02602308 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1124051313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3274 STEINWAY ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034006",
"telephone_number": "860-997-4957",
"fax_number": "718-721-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3274 STEINWAY ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111034006",
"telephone_number": "860-997-4957",
"fax_number": "718-721-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUA",
"first_name": "NIELS",
"middle_name": "MANU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2017-01-03",
"deactivation_date": "2006-07-19",
"reactivation_date": "2006-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "211446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02602308",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.