Active NPI
Henry NG Chua MD PA
- Cardiovascular Disease Physician
- North Miami Beach, FL
National Provider Identifier
1972673242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME39730
- Legal business name
- HENRY NG CHUA MD PA
- Practice address
- 100 NW 170TH St Ste 411
North Miami Beach, FL 33169-5511 - Phone
- (305) 249-5666
- Fax
- (305) 249-5669
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry NG Chua, M.D.
- Title
- President
- Phone
- (305) 249-5666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME39730 | FL | Primary |
Addresses
Primary practice location
100 NW 170TH St Ste 411
North Miami Beach, FL 33169-5511
Mailing address
100 NW 170TH St Ste 411
North Miami Beach, FL 33169-5511
Phone (305) 249-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068925400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1295 NW 14th St
Ste N
Miami, FL 33125
Phone (305) 325-8990
100 NW 170th St
Ste 205
North Miami Beach, FL 33169
Phone (305) 545-5465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1972673242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 170TH ST STE 411",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695511",
"telephone_number": "305-249-5666",
"fax_number": "305-249-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170TH ST STE 411",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695511",
"telephone_number": "305-249-5666",
"fax_number": "305-249-5669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY NG CHUA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "CHUA",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "NG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-249-5666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME39730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068925400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.