Individual provider Active NPI

Tingchang Hsieh, M.D.

  • Pediatric Critical Care Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1972055424
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
70726 Issued in WI
Practice address
1 Brookdale Plaza
Brooklyn, NY 11212
Phone
(718) 240-5000
NPI assigned
Nov 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 70726 WI Primary

Addresses

Primary practice location

1 Brookdale Plaza
Brooklyn, NY 11212

Mailing address

2639 University Ave
Ste 201
Madison, WI 53705-3750
Phone (608) 263-0572

Other practice location 1

3401 Civic Center Blvd
9NW, Room 55
Philadelphia, PA 19104-4319
Phone (215) 590-1216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NJ2 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
I20220725000295 WV Practitioner - Pediatric Medicine 4082949268 Reassigns benefits to 1 organization
I20240905002752 NJ Practitioner - Pediatric Medicine 4082949268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 17, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 25, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 25, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 17, 2024 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

16 Sterling Dr
Ste 102
Bridgeport, WV 26330
Phone (681) 342-2133

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: thsieh314427@direct.wvuhsdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1972055424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "address_2": "STE 201",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-263-0572",
            "fax_number": "608-662-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "9NW, ROOM 55",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1216",
            "fax_number": "215-590-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "TINGCHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WI",
            "license": "70726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.