East West Integrated Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EAST WEST INTEGRATED MEDICAL PC

Practice address

350 Central Park West 1D
New York, NY 10025

Phone

(212) 886-2602

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tze-Jung Su, MDNPI 1306932017

Title

President

Phone

(917) 892-4834

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tze-Jung Su, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1306932017
  Medicare reassignment NPD Authorized official
• Luke S Marlow, D.C.

  • Chiropractor
  • New York, NY
  • NPI 1336471168
  NPD

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1124211586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK WEST 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-886-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CENTRAL PARK WEST 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-886-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST INTEGRATED MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "TZE-JUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-892-4834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Village Foot Care, PC
• East Village Gastroenterology P.C.
• East Village Integrated Medical, PC
• East Village Physical Medicine, PC
• East Wellness Acupuncture PC
• East West Natural Health Center
• East-to-West-Medical-Wellness
• East-West Integrative Medicine PLLC
• East-West Surgical, P.C.
• Avigayil East, DNP

• Primary Care Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.