Individual provider Active NPI

Ophelia Cheung, PA

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1508329160
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6230 Reese Rd Apt 315
Davie, FL 33314-1273
Phone
(954) 326-8313
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6230 Reese Rd Apt 315
Davie, FL 33314-1273

Mailing address

1113 York Ave Apt 22a
New York, NY 10065-8794
Phone (954) 326-8313

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001517 NY Practitioner - Physician Assistant 4082029665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jian Cui Dermatology PCGroup PAC ID 4082765987, 3 clinicians

Practice addresses (Care Compare)

13620 38TH Ave
Suite 5H
Flushing, NY 11354-4232
Phone (718) 661-9554

185 Canal St
Suite 201
New York, NY 10013-4537
Phone (212) 233-3441

6402 8TH Ave
Suite 505
Brooklyn, NY 11220-4720
Phone (718) 921-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026113NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1508329160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 YORK AVE APT 22A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658794",
            "telephone_number": "954-326-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 REESE RD APT 315",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141273",
            "telephone_number": "954-326-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "OPHELIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.