Active NPI
Jun Fu, M.D.
- Internal Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 300896
- Practice address
- 23 Hammond LN
Plattsburgh, NY 12901-2000 - Phone
- (518) 561-1322
- NPI assigned
- Dec 5, 2010
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0012251 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Internal Medicine | Current | Accepting new patients |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Family Medicine Physician
- Burlington, VT
- NPI 1689678963
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
dba Northwestern Medical Center (ED)
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
dba Community Health Centers - Pharmacy
- Community/Retail Pharmacy
- South Burlington, VT
- NPI 1659190924
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
dba Northwestern Family Birth Center
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.