Individual provider Active NPI

Douglas Chu

  • Mechanotherapist
  • Brooklyn, NY
National Provider Identifier
1932659562
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
010542 Issued in NY
Practice address
364 Senator St
1
Brooklyn, NY 11220-5311
Phone
(646) 207-7218
NPI assigned
Oct 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 010542 NY Primary

Addresses

Primary practice location

364 Senator St
1
Brooklyn, NY 11220-5311

Mailing address

364 Senator St
1
Brooklyn, NY 11220-5311
Phone (646) 207-7218

Other identifiers 1

IdentifierTypeStateIssuer
831515682OtherNYNYS IDENTIFICATION CARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010542NYMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1932659562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SENATOR ST",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205311",
            "telephone_number": "646-207-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SENATOR ST",
            "address_2": "1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205311",
            "telephone_number": "646-207-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "010542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS IDENTIFICATION CARD",
            "identifier": "831515682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.