Individual provider Active NPI

Jun Fu, M.D.

  • Internal Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1538461066
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
300896 Issued in NY
Practice address
23 Hammond LN
Plattsburgh, NY 12901-2000
Phone
(518) 561-1322
NPI assigned
Dec 5, 2010
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042-0012251 VT
Internal Medicine Physician 207R00000X 300896 NY Primary

Addresses

Primary practice location

23 Hammond LN
Plattsburgh, NY 12901-2000

Mailing address

617 Riverside Ave
Suite 101
Burlington, VT 05401-1601
Phone (802) 864-6309

Other practice location 1

260 Crest Rd
Suite 101
Saint Albans, VT 05478-9503
Phone (802) 524-5911 ext. 8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120117000019 VT Practitioner - Internal Medicine 1850568890 Reassigns benefits to 3 organizations
I20191120001064 NY Practitioner - Internal Medicine 1850568890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0012251VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Nov 28, 2011 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Jan 5, 2012 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Aug 15, 2016 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Aug 15, 2016 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Nov 28, 2011 Accepting new patients

Locations

23 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 561-1322

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

617 Riverside Ave
Ste 101
Burlington, VT 05401

927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

260 Crest Rd
Ste 1
Saint Albans, VT 05478

260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: jfu506272@direct.uvmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1538461066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "address_2": "SUITE 101",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HAMMOND LN",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-561-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Crest Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054789503",
            "country_code": "US",
            "telephone_number": "802-524-5911 x8867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "JUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0012251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "300896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.