Organization Active NPI

8TH Avenue Medical Office PLLC

  • Preferred Provider Organization
  • Brooklyn, NY
National Provider Identifier
1144403726
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
205969 Issued in NY
Legal business name
8TH AVENUE MEDICAL OFFICE PLLC
Practice address
775 57TH St
Brooklyn, NY 11220-3505
Phone
(718) 439-6163
Fax
(718) 439-6815
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Terence Hsuih, M.D
Title
President
Phone
(718) 439-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 205969 NY Primary

Addresses

Primary practice location

775 57TH St
Brooklyn, NY 11220-3505

Mailing address

775 57TH St
Brooklyn, NY 11220-3505
Phone (718) 439-6163

Other identifiers 1

IdentifierTypeStateIssuer
01828413MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000346 NY Part B Supplier - Clinic/Group Practice 5092606145 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1144403726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203505",
            "telephone_number": "718-439-6163",
            "fax_number": "718-439-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 57TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203505",
            "telephone_number": "718-439-6163",
            "fax_number": "718-439-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8TH AVENUE MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HSUIH",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-439-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "205969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01828413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.