Organization Active NPI

Felix Chu DO Facc PC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1144396722
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
194784 Issued in NY
Legal business name
FELIX CHU DO FACC PC
Practice address
13 17 Elizabeth St
#603
New York, NY 10013
Phone
(212) 431-8871
Fax
(212) 431-8807
NPI assigned
Nov 27, 2006
Organization subpart
Yes
Parent organization
FELIX CHU DO FACC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mr. Cyndi Pook
Title
Office Manager
Phone
(212) 431-8871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 194784 NY Primary

Addresses

Primary practice location

13 17 Elizabeth St
#603
New York, NY 10013

Mailing address

13 17 Elizabeth St
#603
New York, NY 10013
Phone (212) 431-8871

Other identifiers 2

IdentifierTypeStateIssuer
445P01OtherNYEMPIRE BCBS
01952294MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105000084 NY Part B Supplier - Clinic/Group Practice 1557250883 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0968131Felix Chu DO13-17 Elizabeth Street Suite#603, New York, NY 10013Certificate of waiverDec 2, 2027

National Provider Directory

National Provider Directory
Part of
Felix Chu DO Facc PC

Locations

13 Elizabeth St
#603
New York, NY 10013
Phone (212) 431-8871

13 Elizabeth St
Ste 603
New York, NY 10013

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1144396722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 17 ELIZABETH ST",
            "address_2": "#603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-431-8871",
            "fax_number": "212-431-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 17 ELIZABETH ST",
            "address_2": "#603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "212-431-8871",
            "fax_number": "212-431-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELIX CHU DO FACC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FELIX CHU DO FACC PC",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "POOK",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-431-8871",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "194784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "445P01",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01952294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.