Active NPI
Stephanie W. Hu, M.D.
- Dermatology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 258414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G400173736 | Other | NY | MEDICARE PTAN |
| 04009945 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sh@metrodermatology.emadirect.mds |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 24 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258414 | NY | MD | Dermatology Physician |
| 258414-1 | NY | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West 57TH Street Dermatology PLLC | Current | Accepting new patients | |
| Metro Dermatology of Ny,PC | Dermatology | Current | Accepting new patients |
| Metro Dermatology of NJ,PA | Procedural Dermatology | Current | 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.
-
- Specialist
- Scarsdale, NY
- NPI 1518185727
-
- Procedural Dermatology Physician
- Fort Lee, NJ
- NPI 1437353372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.