NPIMap

Individual provider Active NPI

Brian Tin Chu, M.D.

  • Nephrology Physician
  • Mount Sinai, NY
National Provider Identifier
1992943476
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
254047 Issued in NY
Practice address
701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050
Phone
(631) 331-4403
Fax
(631) 331-1932
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA08622500 NJ
Nephrology Physician 207RN0300X 254047 NY Primary

Addresses

Primary practice location

701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050

Mailing address

255 Warren St
Apt 1603
Jersey City, NJ 07302-3722
Phone (201) 370-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000063 NY Practitioner - NephrologyPractitioner - Internal Medicine 9931248598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

701 Route 25a
Suite B1
Mount Sinai, NY 11766-2050
Phone (631) 331-4403

Hospital & facility affiliations

  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • John T Mather Memorial Hospital of Port Jefferson Hospital, Port Jefferson, NY, CCN 330185
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Charles Hospital Inpatient rehabilitation facility, Port Jefferson, NY, CCN 33T246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08622500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 1, 2016 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Hospital Medicine Associates, P.C. Internal Medicine Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients

Locations

701 Route 25A
Ste B1
Mount Sinai, NY 11766
Phone (631) 331-4403

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

2500 Nesconset Hwy
Bldg 7
Stony Brook, NY 11790
Phone (516) 751-3322

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bchu21932@direct-chsli.net

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1992943476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WARREN ST",
            "address_2": "APT 1603",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023722",
            "telephone_number": "201-370-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROUTE 25A",
            "address_2": "SUITE B1",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662050",
            "telephone_number": "631-331-4403",
            "fax_number": "631-331-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "BRIAN",
        "middle_name": "TIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA08622500",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "254047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

Verify at the official NPI Registry.