Active NPI
Eugene Gu MD PC
- General Practice Physician
- New York, NY
National Provider Identifier
1700459336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- EUGENE GU MD PC
- Practice address
- 30 Central Park S RM 10a
New York, NY 10019-1628 - Phone
- (408) 762-5948
- Fax
- (408) 762-5948
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Gu, MD
- Title
- Owner
- Phone
- (888) 801-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
30 Central Park S RM 10a
New York, NY 10019-1628
Mailing address
920 N 1St St
Renton, WA 98057-5759
Phone (888) 801-2012
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1700459336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N 1ST ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980575759",
"telephone_number": "888-801-2012",
"fax_number": "408-762-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CENTRAL PARK S RM 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191628",
"telephone_number": "408-762-5948",
"fax_number": "408-762-5948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE GU MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "GU",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-801-2012",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.