Active NPI
Victoria S Chua, MD
- Family Medicine Physician
- Coram, NY
National Provider Identifier
1659604148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A121420
- Practice address
- 7 Hawser PL
Coram, NY 11727-1814 - Phone
- (631) 732-3811
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A121420 | NY | Primary |
Addresses
Primary practice location
7 Hawser PL
Coram, NY 11727-1814
Mailing address
7 Hawser Place
Coram, NY 11727
Phone (631) 732-3811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121420 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1659604148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HAWSER PLACE",
"city": "CORAM",
"state": "NY",
"postal_code": "11727",
"telephone_number": "631-732-3811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HAWSER PL",
"city": "CORAM",
"state": "NY",
"postal_code": "117271814",
"telephone_number": "631-732-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUA",
"first_name": "VICTORIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "A121420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.