Active NPI
Hyun Susan Cha, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1497788509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 225227
- Practice address
- 2315 Broadway
New York, NY 10024-4332 - Phone
- (646) 962-2110
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 225227 | NY | Primary |
Addresses
Primary practice location
2315 Broadway
New York, NY 10024-4332
Mailing address
35 Sutton PL Apt 21B
New York, NY 10022-2429
Phone (917) 434-3022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6B5881 | Other | NY | EMPIRE BLUE CROSS BLUE SH |
| 02594205 | Medicaid | NY |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | ssc9001@direct.nyp.org | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225227 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| Weill Medical College of Cornell | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| Gary a. Fantini, M.D., PLLC | Past | Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients |
Locations
2315 Broadway
New York, NY 10024
Phone (212) 746-3278
215 E 85th St
New York, NY 10028
Phone (646) 962-7300
535 E 70th St
New York, NY 10021
429 E 75th St
New York, NY 10021
Phone (212) 265-5566
535 E 70th St
#Hospi
New York, NY 10021
Phone (212) 249-5411
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
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- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1982004529
-
- Psychologist
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-
- Specialist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1497788509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SUTTON PL APT 21B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222429",
"telephone_number": "917-434-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100244332",
"telephone_number": "646-962-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHA",
"first_name": "HYUN",
"middle_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "225227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "6B5881",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02594205",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "215 E 85th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100283108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "215 E 85th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100283108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssc9001@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "215 E 85th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100283108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.