Individual provider Active NPI

Paul Chu, MD

  • Dermatopathology (Pathology) Physician
  • Tarrytown, NY
National Provider Identifier
1851370381
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
1926421 Issued in NY
Practice address
560 White Plains Rd FL 6
Tarrytown, NY 10591-5155
Phone
(914) 345-1100
Fax
(914) 345-1101
NPI assigned
Jan 12, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1926421 NY
Dermatopathology (Pathology) Physician 207ZD0900X 1926421 NY Primary

Addresses

Primary practice location

560 White Plains Rd FL 6
Tarrytown, NY 10591-5155

Mailing address

560 White Plains Rd FL 6
Tarrytown, NY 10591-5155
Phone (914) 345-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190108000840 NJ Practitioner - Pathology 7214026954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Englewood Pathologists, PAGroup PAC ID 3779671672, 11 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-1702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
73.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1926421NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Englewood Pathologists, PA Dermatopathology CurrentSince Feb 1, 2019 Accepting new patients
Bridge Dermatopathology Services PLLC CurrentSince Mar 17, 2024 Accepting new patients
Ameripath New York LLC Past Accepting new patients
Stony Brook Pathologists, University Faculty Practice Corporation PastSince Aug 12, 2014 Accepting new patients
Ameripath New York LLC Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

560 White Plains Rd
Fl 6
Tarrytown, NY 10591
Phone (914) 345-1100

Networks

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

Interoperability endpoints

  • Direct secure messaging: pchu844621@nychhc.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1851370381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD FL 6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915155",
            "telephone_number": "914-345-1100",
            "fax_number": "914-345-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WHITE PLAINS RD FL 6",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915155",
            "telephone_number": "914-345-1100",
            "fax_number": "914-345-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1926421",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NY",
            "license": "1926421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.