Individual provider Active NPI

Priscilla Cheng, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1154984474
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061185 Issued in NY
Practice address
30 E 40TH St RM 602
New York, NY 10016-1243
Phone
(646) 687-7898
Fax
(646) 650-2700
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 061185 NY Primary

Addresses

Primary practice location

30 E 40TH St RM 602
New York, NY 10016-1243

Mailing address

8511 60TH Rd
Middle Village, NY 11379-5408
Phone (917) 806-6087

Other practice location 1

13421 Maple Ave # C1
Flushing, NY 11355-4527
Phone (646) 952-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061185NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Dental Loft P.C. CurrentSince Aug 23, 2020 Accepting new patients

Locations

30 E 40th St
Rm 602
New York, NY 10016
Phone (646) 687-7898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1154984474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 60TH RD",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795408",
            "telephone_number": "917-806-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161243",
            "telephone_number": "646-687-7898",
            "fax_number": "646-650-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13421 Maple Ave # C1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113554527",
            "country_code": "US",
            "telephone_number": "646-952-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061185",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.