1154330520 NPI number — LONG-GUE HU MD

Table of content: LONG-GUE HU MD (NPI 1154330520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154330520 NPI number — LONG-GUE HU MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HU
Provider First Name:
LONG-GUE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154330520
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
355 GRAND STREET
Provider Second Line Business Mailing Address:
4 EAST
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-915-2466
Provider Business Mailing Address Fax Number:
201-915-2481

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
377 JERSEY AVE
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07302-4393
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-309-2380
Provider Business Practice Location Address Fax Number:
201-309-2381
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MA52841 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200572 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 688579 . This is a "AMERIHEALTH PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 19054 . This is a "AMERIGROUP AMERICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "FAMILY CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: HUL00011900 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010052841NJ05 . This is a "ANTHEM HEALTH INSURANCE C" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "BEECHSTREET CORPORATION M" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "DEVON HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "GALAXY HEALTH NETWORK INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0523241000 . This is a "AMERIHEALTH HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 159008 . This is a "GREAT WEST HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010052841NJ01 . This is a "ANTHEM HEALTH INSURANCE C" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223363012 . This is a "CHN CONSUMER HEALTH NETWO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4215211 . This is a "AETNA TRADITIONAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4610202 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2216235 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 59054 . This is a "AMERIGROUP AMERICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 420251 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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