Active NPI
Eric Cheng, MD
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1417935180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 152282
- Practice address
- 3309 Church Ave
Second Floor
Brooklyn, NY 11203-2711 - Phone
- (718) 856-3100
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 152282 | NY | Primary |
Addresses
Primary practice location
3309 Church Ave
Second Floor
Brooklyn, NY 11203-2711
Mailing address
3309 Church Ave
Second Floor
Brooklyn, NY 11203-2711
Phone (718) 856-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93A131 | Other | NY | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100316000003 | NY | Practitioner - Family Practice | 2062547102 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1417935180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 CHURCH AVE",
"address_2": "SECOND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032711",
"telephone_number": "718-856-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 CHURCH AVE",
"address_2": "SECOND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032711",
"telephone_number": "718-856-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "ERIC",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "152282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "93A131",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.