Individual provider Active NPI

Congzhen Ou, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1891802559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208613 Issued in NY
Practice address
2 E Broadway
Ste 105
New York, NY 10038-1073
Phone
(212) 248-0850
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208613 NY Primary

Addresses

Primary practice location

2 E Broadway
Ste 105
New York, NY 10038-1073

Mailing address

4370 Kissena Blvd
Ste 1J
Flushing, NY 11355-3769
Phone (212) 248-0850

Other identifiers 1

IdentifierTypeStateIssuer
02120969MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041202000319 NY Practitioner - Psychiatry 1557327533 Practice locations: New York, NY
I20171130001317 PA Practitioner - Psychiatry 1557327533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hispanic Community Counseling ServicesGroup PAC ID 0648454041, 6 clinicians

Practice addresses (Care Compare)

1952 E Allegheny Ave
FL 2
Philadelphia, PA 19134-3122
Phone (215) 423-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Community Counseling Services CurrentSince Mar 30, 2024 Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

1952 E Allegheny Ave
#2
Philadelphia, PA 19134
Phone (215) 423-5000

3255 Kensington Ave
Philadelphia, PA 19134

Organizations & group practices 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891802559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 KISSENA BLVD",
            "address_2": "STE 1J",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553769",
            "telephone_number": "212-248-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E BROADWAY",
            "address_2": "STE 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381073",
            "telephone_number": "212-248-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU",
        "first_name": "CONGZHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02120969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.