1932261716 NPI number — DR. JIONG-MING HU M.D., PH.D

Table of content: DR. CATHERINE CIRULLI PSY.D. (NPI 1669796470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932261716 NPI number — DR. JIONG-MING HU M.D., PH.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HU
Provider First Name:
JIONG-MING
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., PH.D
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:
1932261716
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13620 38TH AVE
Provider Second Line Business Mailing Address:
5G
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11354-4233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-353-9698
Provider Business Mailing Address Fax Number:
718-353-0387

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13620 38TH AVE
Provider Second Line Business Practice Location Address:
5G
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354-4233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-353-9698
Provider Business Practice Location Address Fax Number:
718-353-0387
Provider Enumeration Date:
12/15/2006

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: 207RC0000X , with the licence number:  211214 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 02156476 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 043713531 . This is a "1199-NATIONAL BENEFIT" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 139166BJ . This is a "PREFERRED CARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 165260 . This is a "WELLCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2088136 . This is a "UHC, EMPIRE PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2985909 . This is a "AETNA-HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P1984215 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 211214-B27 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0409889005 . This is a "CIGNA-SPECIALIST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 211214-B27 . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0409889004 . This is a "CIGNA-INTERNAL MEDICINE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4C3078 . This is a "HEALTH NET, GUARDIAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000206060101 . This is a "HEALTH PLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 043713531 . This is a "TAX ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 079AZ1 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2593946 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7971326 . This is a "AETNA-PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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