Individual provider Active NPI

Shuangwu Zheng, MD

  • Physical Medicine & Rehabilitation Physician
  • Poughkeepsie, NY
National Provider Identifier
1376589770
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219658 Issued in NY
Practice address
74 West Cedar Street
Suite 1B
Poughkeepsie, NY 12601-1335
Phone
(845) 454-7100
Fax
(845) 454-7101
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001127 NY
Physical Medicine & Rehabilitation Physician 208100000X 219658 NY Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 219658 NY

Addresses

Primary practice location

74 West Cedar Street
Suite 1B
Poughkeepsie, NY 12601-1335

Mailing address

126 Fort Hill Rd
Scarsdale, NY 10583-3206
Phone (914) 395-1098

Other identifiers 2

IdentifierTypeStateIssuer
219658OtherNYSTATE LICENSE
06250OtherNYGHI MEDICARE PIN

Other names 1

  • Peter Zheng Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001308 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0941281638 Reassigns benefits to 1 organization
Practice locations: Hawthorne, NY; Tuckahoe, NY; Poughkeepsie, NY; Flushing, NY; Bronxville, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19 Bradhurst Ave
Suite 2900
Hawthorne, NY 10532-2193
Phone (845) 876-5701

69 Main St
Tuckahoe, NY 10707-2914
Phone (914) 395-1098

74 W Cedar St
Suite 1B
Poughkeepsie, NY 12601-1310
Phone (845) 454-7100

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001127NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management PC CurrentSince Dec 14, 2001 Accepting new patients
Boro Medical, P.C. Past Accepting new patients
Boro Medical, P.C. Past Accepting new patients
Lawrence Community Health Services Past Accepting new patients

Locations

3907 Prince St
Ste 4J
Flushing, NY 11354
Phone (718) 358-1861

74 W Cedar St
Ste 1B
Poughkeepsie, NY 12601
Phone (845) 454-7100

69 Main St
Tuckahoe, NY 10707
Phone (914) 395-1098

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376589770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FORT HILL RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833206",
            "telephone_number": "914-395-1098",
            "fax_number": "718-795-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WEST CEDAR STREET",
            "address_2": "SUITE 1B",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011335",
            "telephone_number": "845-454-7100",
            "fax_number": "845-454-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "SHUANGWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001127",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "219658",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "219658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "219658",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE PIN",
            "identifier": "06250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "ZHENG",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.