Individual provider Active NPI

Pauline P Fu, D.P.M.

  • Podiatrist
  • New York, NY
National Provider Identifier
1124215827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006198 Issued in NY
Practice address
280 Madison Ave RM 202
New York, NY 10016-0816
Phone
(212) 889-2318
Fax
(212) 889-2318
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006198 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 202
New York, NY 10016-0816

Mailing address

16407 99TH St
Howard Beach, NY 11414-4041
Phone (646) 508-1923

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000104 NY Practitioner - Podiatry 4981786753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pauline Polin Fu, DPM, PCGroup PAC ID 4082770565, 3 clinicians

Practice addresses (Care Compare)

280 Madison Ave
RM 202
New York, NY 10016-0816
Phone (212) 889-2318

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue172
Removal or shaving of skin growth135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006198NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pauline Polin Fu, DPM, PC CurrentSince Dec 22, 2008 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

120 E 56th St
Rm 940
New York, NY 10022
Phone (212) 765-0765

274 Madison Ave
Rm 1106
New York, NY 10016
Phone (212) 802-1433

280 Madison Ave
Rm 202
New York, NY 10016
Phone (212) 889-2318

Networks

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

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124215827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16407 99TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114144041",
            "telephone_number": "646-508-1923",
            "fax_number": "607-697-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "212-889-2318",
            "fax_number": "212-889-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "PAULINE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.