Individual provider Active NPI

Alice 518-262-3095 Cheung, MD

  • Urology Physician
  • Kingston, NY
National Provider Identifier
1639638778
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
331326 Issued in NY
Practice address
111 Marys Ave
Kingston, NY 12401-5852
Phone
(845) 437-5000
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 331326 NY Primary

Addresses

Primary practice location

111 Marys Ave
Kingston, NY 12401-5852

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 437-5000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926002483 NY Practitioner - Urology 3971832429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

243 N Rd
Poughkeepsie, NY 12601-1173

696 Dutchess Tpke
Poughkeepsie, NY 12603-6444
Phone (845) 454-8200

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331326NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Sep 30, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Urology CurrentSince Sep 30, 2024 Accepting new patients

Locations

111 Marys Ave
Ste 3
Kingston, NY 12401
Phone (845) 452-7319

111 Marys Ave
Kingston, NY 12401
Phone (845) 339-4900

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: acheung@premiermedicalhv.medentdirect.com
  • Direct secure messaging: acheung23299@albanymed.direct-ci.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1639638778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-437-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015852",
            "telephone_number": "845-437-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ALICE",
        "middle_name": "518-262-3095",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "331326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.