Active NPI
Chenguang Tony Tao, M.D.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1720304066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 269048
- Practice address
- 15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085 - Phone
- (718) 591-2014
- Fax
- (718) 591-9528
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 269048 | NY | Primary |
Addresses
Primary practice location
15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Mailing address
15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Phone (718) 591-2014
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131003000081 | NY | Practitioner - Internal Medicine | 6002040102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1720304066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15811 HARRY VAN ARSDALE JR AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653085",
"telephone_number": "718-591-2014",
"fax_number": "718-591-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15811 HARRY VAN ARSDALE JR AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113653085",
"telephone_number": "718-591-2014",
"fax_number": "718-591-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "CHENGUANG",
"middle_name": "TONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "269048",
"primary": true
}
],
"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 May 1, 2026; 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.