Tsae Jiaug Su, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

461258 Issued in NY

Practice address

234 E 149TH St
Bronx, NY 10451-5504

Phone

(718) 579-5197

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1346672300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 -08 175TH STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661402",
            "telephone_number": "718-969-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "TSAE JIAUG",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "461258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• STV Chemists Inc
• Piotr Styczen, PA
• Jessica M Stygares
• Natalia Stypulkowski
• Cheng H Su
• Carla Maria Suarez Montes de Oca, MA., CCC-SLP,TSSLDBE
• Laura Angelica Suarez Sierra
• Claudia Suarez-Makotsi, MD
• Aidalene Suarez
• Alejandro Suarez

• Diabetes Educator Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.