Active NPI
Sandy Cheung, DO, PLLC
- Medical Specialty Clinic/Center
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 247111
- Legal business name
- SANDY CHEUNG, DO, PLLC
- Practice address
- 11 E Broadway Ste 11B
New York, NY 10038-1013 - Phone
- (212) 966-9886
- Fax
- (212) 966-9868
- NPI assigned
- Jun 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Cheung
- Title
- Physician
- Phone
- (212) 966-9886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 247111 | NY | Primary |
Addresses
Primary practice location
11 E Broadway Ste 11B
New York, NY 10038-1013
Mailing address
11 E Broadway Ste 11B
New York, NY 10038-1013
Phone (212) 966-9886
Other practice location 1
18 East Broadway
Suite 503
New York, NY 10002
Phone (212) 966-9886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2026441 | Sandy Cheung, DO, PLLC | Certificate of waiver | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
11 E Broadway
Ste 11B
New York, NY 10038
Phone (212) 966-9886
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1659533776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622073600000",
"number": "1225324015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E BROADWAY STE 11B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381013",
"telephone_number": "212-966-9886",
"fax_number": "212-966-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E BROADWAY STE 11B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381013",
"telephone_number": "212-966-9886",
"fax_number": "212-966-9868"
}
],
"practiceLocations": [
{
"address_1": "18 East Broadway",
"address_2": "Suite 503",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10002",
"country_code": "US",
"telephone_number": "212-966-9886",
"fax_number": "212-966-9868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SANDY CHEUNG, DO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-21",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A",
"authorized_official_last_name": "CHEUNG",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "212-966-9886"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NY",
"license": "247111",
"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 May 27, 2021; 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.