Individual provider Active NPI

Fai Chu, D.C., L.AC.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1699755017
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009595 Issued in NY
Practice address
136-20 38 Ave
Suite 8a
Flushing, NY 11354-5399
Phone
(718) 353-0228
Fax
(718) 939-3553
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009595 NY Primary
Acupuncturist 171100000X 002041 NY

Addresses

Primary practice location

136-20 38 Ave
Suite 8a
Flushing, NY 11354-5399

Mailing address

136-20 38 Ave
Suite 8a
Flushing, NY 11354-5399
Phone (718) 353-0228

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
002041NYMDMental Health Counselor
X009595NYMDChiropractor
009595NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1699755017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-20 38 AVE",
            "address_2": "SUITE 8A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545399",
            "telephone_number": "718-353-0228",
            "fax_number": "718-939-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-20 38 AVE",
            "address_2": "SUITE 8A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545399",
            "telephone_number": "718-353-0228",
            "fax_number": "718-939-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "FAI",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009595",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.