Active NPI
Shung Cheng, M.D.
- Family Medicine Physician
- Staten Island, NY
National Provider Identifier
1225034242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 162531
- Practice address
- 1303 Richmond Ave
Staten Island, NY 10314-1562 - Phone
- (718) 983-8097
- Fax
- (718) 698-8852
- NPI assigned
- Jun 23, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 162531 | NY | Primary |
Addresses
Primary practice location
1303 Richmond Ave
Staten Island, NY 10314-1562
Mailing address
1303 Richmond Ave
Staten Island, NY 10314-1562
Phone (718) 983-8097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120402000262 | NY | Practitioner - General Practice | 1557521309 | Practice locations: Staten Island, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225034242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141562",
"telephone_number": "718-983-8097",
"fax_number": "718-698-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103141562",
"telephone_number": "718-983-8097",
"fax_number": "718-698-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "SHUNG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "162531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.