Individual provider Active NPI

Alex Cheng, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1275987836
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA10690500 Issued in NJ
Practice address
1090 Amsterdam Ave FL 16
New York, NY 10025-1737
Phone
(212) 523-4946
NPI assigned
Apr 20, 2016
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA10690500 NJ
Psychiatry Physician 2084P0800X 25MA10690500 NJ Primary

Addresses

Primary practice location

1090 Amsterdam Ave FL 16
New York, NY 10025-1737

Mailing address

1090 Amsterdam Ave FL 16
New York, NY 10025-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200717001000 NJ Practitioner - Psychiatry 0648523910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holy Name Primary Care and Specialty Associates PCGroup PAC ID 4082847447, 44 clinicians

Practice addresses (Care Compare)

185 Cedar LN
Teaneck, NJ 07666-4316
Phone (201) 836-3000

354 Old Hook Rd
Suite 102
Westwood, NJ 07675-3247
Phone (201) 358-0400

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10690500NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Primary Care and Specialty Associates, PC Psychiatry CurrentSince Aug 1, 2020 Accepting new patients
SLR Psychiatric Associates PastSince Jan 2, 2018 Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
New York General Medical Services PC Past Accepting new patients

Locations

185 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-0888

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

354 Old Hook Rd
Ste 102
Westwood, NJ 07675
Phone (201) 358-0400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1275987836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE FL 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-523-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA10690500",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10690500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.