1801986500 NPI number — DR. YUPING CHEN MD

Table of content: DR. YUPING CHEN MD (NPI 1801986500)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801986500 NPI number — DR. YUPING CHEN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEN
Provider First Name:
YUPING
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1801986500
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13621 ROOSEVELT AVE
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11354-5507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-353-2536
Provider Business Mailing Address Fax Number:
718-359-9247

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13621 ROOSEVELT AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354-5507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-353-2536
Provider Business Practice Location Address Fax Number:
718-359-9247
Provider Enumeration Date:
10/13/2006

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: 207R00000X , with the licence number:  214509 , 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: 1000033816 . This is a "AFFINITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: OH1861 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214509 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: P2040091 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1929682 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 060814000093 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2212316 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 434453N . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 171734 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 214509 . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2596887 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2C6550 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 46764 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7036024 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 04-05586 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01997048 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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