Individual provider Active NPI

Wen Wen Cheung, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1306367974
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341507 Issued in NY
Practice address
139 Centre St Ste 704
New York, NY 10013-4557
Phone
(212) 219-8878
NPI assigned
Jul 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341507 NY Primary

Addresses

Primary practice location

139 Centre St Ste 704
New York, NY 10013-4557

Mailing address

366 5TH Ave FL 4
New York, NY 10001-2241
Phone (646) 630-8266

Other practice location 1

4235 Main St Ste 3E
Flushing, NY 11355-3969
Phone (718) 886-8510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001753 NY Practitioner - Nurse Practitioner 2466852272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

5715 7TH Ave
Brooklyn, NY 11220-3902
Phone (718) 567-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F341507NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Mar 10, 2021 Accepting new patients

Locations

5715 7th Ave
Brooklyn, NY 11220
Phone (212) 434-3420

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

139 Centre St
Ste 711
New York, NY 10013
Phone (646) 601-6229

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1306367974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 5TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012241",
            "telephone_number": "646-630-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134557",
            "telephone_number": "212-219-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Main St Ste 3E",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553969",
            "country_code": "US",
            "telephone_number": "718-886-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "WEN WEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.