Individual provider Active NPI

Tung S Chez, M.D. FACC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1952306433
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
187002 Issued in NY
Practice address
513 W 179TH St
Apt 1
New York, NY 10033-5708
Phone
(212) 740-0408
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 187002 NY Primary

Addresses

Primary practice location

513 W 179TH St
Apt 1
New York, NY 10033-5708

Mailing address

PO Box 690060
East Elmhurst, NY 11369-0060
Phone (212) 740-0408

Other identifiers 14

IdentifierTypeStateIssuer
1024836OtherAETNA
1000023248OtherAFFINITY HEALTH PLAN
2593560OtherGHI
01382085MedicaidNY
2815958013OtherCIGNA
08L953OtherNYBCBS EMPIRE INDIVIDUAL
1534134OtherUNITEDHEALTHCARE COMMERCI
297228OtherNYWELLCARE
4C4911OtherNYHEALTHNET (PHS)
187002OtherNYHIP NEW YORK
2501740OtherUNITEDHEALTHCARE GVT
31C0691OtherNYCOMMUNITY PREMIER PLUS
NYIM172ACOtherCIGNA 2
P2046043OtherOXFORD

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
I20091113000168 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214075191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

513 W 179TH St
Apt 1
New York, NY 10033-5708
Phone (212) 740-0408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187002NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tung S Chez MD PC CurrentSince Aug 22, 2002 Accepting new patients

Locations

612 W 178th St
Apt 1
New York, NY 10033
Phone (212) 740-0408

513 W 179th St
#1
New York, NY 10033
Phone (212) 740-0408

Networks

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

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1952306433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690060",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113690060",
            "telephone_number": "212-740-0408",
            "fax_number": "212-740-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W 179TH ST",
            "address_2": "APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335708",
            "telephone_number": "212-740-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEZ",
        "first_name": "TUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D. FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "187002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1024836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000023248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2593560",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2815958013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS EMPIRE INDIVIDUAL",
            "identifier": "08L953",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE COMMERCI",
            "identifier": "1534134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "297228",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET (PHS)",
            "identifier": "4C4911",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP NEW YORK",
            "identifier": "187002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE GVT",
            "identifier": "2501740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY PREMIER PLUS",
            "identifier": "31C0691",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 2",
            "identifier": "NYIM172AC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2046043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.