Organization Active NPI

Mabel M P Cheng, MD, PLLC

  • Ophthalmology Physician
  • Latham, NY
National Provider Identifier
1528070232
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1690871 Issued in NY
Legal business name
MABEL M P CHENG, MD, PLLC
Practice address
1072 Troy Schenectady Rd
Suite 135
Latham, NY 12110-1025
Phone
(518) 782-7777
Fax
(518) 782-4913
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Mabel M P Cheng, M.D.NPI 1558345306
Title
Owner
Phone
(518) 782-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1690871 NY Primary

Addresses

Primary practice location

1072 Troy Schenectady Rd
Suite 135
Latham, NY 12110-1025

Mailing address

PO Box 9177
Niskayuna, NY 12309-0177
Phone (518) 782-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411001059 NY Part B Supplier - Clinic/Group Practice 3072550110 Receives reassigned benefits from 4 practitioners
Practice locations: Niskayuna, NY

National Provider Directory

National Provider Directory
Tax ID family
Mabel M P Cheng MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1072 Troy Schenectady Rd
Ste 135
Latham, NY 12110
Phone (518) 782-7777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1528070232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9177",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123090177",
            "telephone_number": "518-782-7777",
            "fax_number": "518-782-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 TROY SCHENECTADY RD",
            "address_2": "SUITE 135",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101025",
            "telephone_number": "518-782-7777",
            "fax_number": "518-782-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL M P CHENG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "M P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-782-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1690871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.