Individual provider Active NPI

Clara Cheung, R.D. C.D.E.

  • Registered Dietitian
  • Flushing, NY
National Provider Identifier
1871797563
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
003676 Issued in NY
Practice address
3712 Prince St Ste 5B
Flushing, NY 11354-4650
Phone
(718) 886-7856
Fax
(718) 228-8917
NPI assigned
Jun 14, 2007
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 003676 NY
Registered Dietitian 133V00000X 003676 NY Primary

Addresses

Primary practice location

3712 Prince St Ste 5B
Flushing, NY 11354-4650

Mailing address

3712 Prince St Ste 5B
Flushing, NY 11354-4650
Phone (212) 966-3829

Other practice location 1

139 Centre St Ste 606
New York, NY 10013-4556
Phone (212) 966-3829

Other identifiers 1

IdentifierTypeStateIssuer
003676OtherNYCERTIFIED DIETITIAN-NUTRITIONIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000224 NY Practitioner - Registered Dietitian Or Nutrition Professional 8820038094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3712 Prince St
Suite 5B
Flushing, NY 11354-4650
Phone (718) 886-7856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Cheung Nutrition Consulting, LLC Nutritionist CurrentSince Mar 31, 2005 Accepting new patients
Yun Feng Medical PC Past Accepting new patients
Clara Cheung Nutrition Consulting, LLC. Nutritionist Past Accepting new patients

Locations

13640 39th Ave
Ste 203
Flushing, NY 11354
Phone (718) 886-7856

3712 Prince St
Ste 5B
Flushing, NY 11354
Phone (718) 886-7856

4161 Kissena Blvd
Ste 28A
Flushing, NY 11355
Phone (718) 886-7856

139 Centre St
Ste 216
New York, NY 10013
Phone (212) 966-3829

139 Centre St
Ste 606
New York, NY 10013
Phone (212) 226-1920

18 E Broadway
Rm 507
New York, NY 10002

41 Elizabeth St
#501
New York, NY 10013
Phone (212) 966-3829

41 Elizabeth St
Rm 501
New York, NY 10013
Phone (212) 966-3829

Networks

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1871797563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "212-966-3829",
            "fax_number": "718-228-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 PRINCE ST STE 5B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544650",
            "telephone_number": "718-886-7856",
            "fax_number": "718-228-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Centre St Ste 606",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134556",
            "country_code": "US",
            "telephone_number": "212-966-3829",
            "fax_number": "718-228-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "CLARA",
        "name_prefix": "Ms.",
        "credential": "R.D.   C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "003676",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED DIETITIAN-NUTRITIONIST",
            "identifier": "003676",
            "state": "NY"
        }
    ],
    "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.