Individual provider Active NPI

Stephanie W. Hu, M.D.

  • Dermatology Physician
  • Flushing, NY
National Provider Identifier
1326270968
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
258414 Issued in NY
Practice address
14472 Northern Blvd Ste 203
Flushing, NY 11354-4231
Phone
(718) 886-9000
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 258414 NY Primary
Procedural Dermatology Physician 207NS0135X 258414 NY
Dermatopathology Physician 207ND0900X 258414-1 NY
Pediatric Dermatology Physician 207NP0225X 258414 NY

Addresses

Primary practice location

14472 Northern Blvd Ste 203
Flushing, NY 11354-4231

Mailing address

4012 80TH St Ste 5a
Elmhurst, NY 11373-1234
Phone (718) 886-9000

Other practice location 1

4012 80th St Ste 5A
Elmhurst, NY 11373-1234
Phone (718) 886-9000 ext. 4008

Other identifiers 2

IdentifierTypeStateIssuer
G400173736OtherNYMEDICARE PTAN
04009945MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sh@metrodermatology.emadirect.mds

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141107000416 NY Practitioner - Dermatology 2769604719 Reassigns benefits to 2 organizations
I20151229000297 NJ Practitioner - PathologyPractitioner - Dermatology 2769604719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Dermatology of Ny,P.C.Group PAC ID 3779761705, 18 clinicians

Practice addresses (Care Compare)

41 -61 Kissena Blvd
5A
Flushing, NY 11355-3105

4161 Kissena Blvd
Suite 5a
Flushing, NY 11355-3105
Phone (718) 886-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258414NYMDDermatology Physician
258414-1NYMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West 57TH Street Dermatology PLLC CurrentSince Dec 1, 2015 Accepting new patients
Metro Dermatology of Ny,PC Dermatology CurrentSince Jul 1, 2014 Accepting new patients
Metro Dermatology of NJ,PA Procedural Dermatology CurrentSince Oct 24, 2015 Accepting new patients

Locations

500 Grand Ave
Ste 201
Englewood, NJ 07631
Phone (201) 886-9000

2175 Lemoine Ave
Fl 6
Fort Lee, NJ 07024
Phone (201) 585-4612

119 E Fordham Rd
Bronx, NY 10468
Phone (718) 886-9000

220 E 161st St
Bronx, NY 10451
Phone (718) 537-5000

4012 80th St
Elmhurst, NY 11373
Phone (718) 426-9595

4012 80th St
Ste 5A
Elmhurst, NY 11373
Phone 7188869000 ext. 4008

4161 Kissena Blvd
Ste 5A
Flushing, NY 11355
Phone (718) 886-9000

14472 Northern Blvd
Ste 203
Flushing, NY 11354
Phone 7188869000 ext. 69000

4161 Kissena Blvd
Ste 5
Flushing, NY 11355
Phone (718) 886-6666

25707 Union Tpke
Glen Oaks, NY 11004
Phone (718) 343-0070

14 Harwood Ct
Ste 217
Scarsdale, NY 10583
Phone (914) 447-2410

Networks

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

Organizations & group practices 3

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1326270968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 80TH ST STE 5A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731234",
            "telephone_number": "718-886-9000",
            "fax_number": "718-961-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14472 NORTHERN BLVD STE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544231",
            "telephone_number": "718-886-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4012 80th St Ste 5A",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731234",
            "country_code": "US",
            "telephone_number": "718-886-9000 x4008",
            "fax_number": "718-961-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HU",
        "first_name": "STEPHANIE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "258414",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "258414",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "258414-1",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NY",
            "license": "258414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G400173736",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009945",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sh@metrodermatology.emadirect.mds",
            "affiliation": "N",
            "address_1": "4012 80th St Ste 5A",
            "city": "Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113731234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.