Individual provider Active NPI

Amy S Chu-Wong, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1821053299
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191511 Issued in NY
Practice address
210 Canal Street
#411
New York, NY 10013-4159
Phone
(212) 406-5526
Fax
(212) 619-2828
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191511 NY Primary

Addresses

Primary practice location

210 Canal Street
#411
New York, NY 10013-4159

Mailing address

210 Canal Street
#411
New York, NY 10013-4159
Phone (212) 406-5526

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000812 NY Practitioner - Internal Medicine 0648457523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Canal St
RM 411
New York, NY 10013-4159
Phone (212) 406-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191511NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Amy S. Chu-Wong, M.D., P.C. CurrentSince Apr 3, 2011 Accepting new patients

Locations

210 Canal St
Rm 411
New York, NY 10013
Phone (212) 406-5526

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFAGCA/Endpoint/IFAGCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1821053299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CANAL STREET",
            "address_2": "#411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134159",
            "telephone_number": "212-406-5526",
            "fax_number": "212-619-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CANAL STREET",
            "address_2": "#411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134159",
            "telephone_number": "212-406-5526",
            "fax_number": "212-619-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU-WONG",
        "first_name": "AMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.