Stephanie Mary Chu, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

060269 Issued in NY

Practice address

218 E 61St St
New York, NY 10065-8506

Phone

(212) 756-8890

NPI assigned

Jun 23, 2016

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Susan Karabin DDS and Edward Gottesman DDS PC

  • Periodontics
  • New York, NY
  • NPI 1902923626
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1447601240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOUGHBY ST APT 26A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014988",
            "telephone_number": "201-739-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658506",
            "telephone_number": "212-756-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 E 23rd St",
            "address_2": "Dental Service",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105011",
            "country_code": "US",
            "telephone_number": "212-686-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "STEPHANIE",
        "middle_name": "MARY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "060269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romy Chu
• Samantha L Chu
• Shan Yiu Chu
• Sidney Chu, MD
• Sienna Chu
• Stephen John Chu, DMD
• Susie Chu, NP
• Wenge Chu
• Wynatte Chu, D.D.S.
• Yat-Wah (Elly) Chu, RN

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.