Tony C.Y. Chuang, M.D.
Individual provider Active NPI Otolaryngology Physician · Watertown, NY
NPI 1790736890 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1790736890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 259787 (NY)
- Practice address
- 830 Washington St
Watertown, NY 13601-4034 - Phone
- (315) 788-1751
- Fax
- (315) 788-9021
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Center
Practice addresses (Care Compare)
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- Samaritan Medical Center
- River Hospital Clinics
- Lewis County General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080423000550 | NY | Practitioner - Otolaryngology | 2860422268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Medical Center | Current |
Accepting new patients | |
| Samaritan Medical Center | Current | Accepting new patients | |
| Samaritan Medical Center | Current |
Accepting new patients | |
| Watertown Ear Nose and Throat GRP | Otolaryngology | Past | Accepting new patients |
Locations
10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
826 Washington St
Watertown, NY 13601
Phone (315) 782-1505
22567 Summit Dr
Watertown, NY 13601
Phone (315) 779-6784
826 Washington St
Ste 204
Watertown, NY 13601
Phone (315) 788-1751
629 Washington St
Watertown, NY 13601
Phone (315) 755-3650
Interoperability endpoints
- tchuang@samaritanmedicalpractice.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 259787 | NY | Yes |
Addresses
Primary practice location
830 Washington St
Watertown, NY 13601-4034
Mailing address
830 Washington St
Watertown, NY 13601-4034
Phone (315) 788-1751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02959075 | Medicaid | NY |
Other providers in Watertown, NY
- Laura Chouinard
- Edward Choung
- Chris S. Calender
- Sandi Christopher
- Dariusz Chrostowski
- Rachel Churchill
- Victoria Ciarfella
- Ashley Clark
- Brittany M Clark
- Denean Elizabeth Clark
All providers in Watertown, NY · Otolaryngology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.