DR. HUAXU CHENG (NPI# 1275500480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275500480 |
| Entity Type | Individual |
| Full Name | DR. HUAXU CHENG |
| Credential | M.D. |
| Practice Address |
1050 Clove Rd Staten Island NY 10301-3627 |
| Mailing Address |
55 Water St 2nd Floor Cred. Dept. New York NY 10041-0004 |
| Practice Telephone | 7188166440 |
| Practice Fax Number | 7188163115 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD2005-0056 | NM | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD2005-0056 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4771 Hylan Blvd, Staten Island, NY 103126315 | 7189488200 | 7184202718 |
| Street Address |
1050 CLOVE RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152681 | Alma Janet Olivos-asarian | Ophthalmology | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2005-08-24 |
| 1609399344 | Jean Ellen Tepelmann | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-07-25 |
| 1912445644 | Barbara A Casuso | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-02-01 |
| 1063954113 | Advantagecare Physicians PC | Family Medicine | 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 | 2016-11-07 |
| 1144678954 | Staten Island Physician Practice PC | Family Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2016-06-02 |
| 1801275375 | Peter De Cesare | Respiratory Therapist, Registered | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-05-29 |
| 1518344365 | Mirjeta Abazaga | Optometrist | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-04-30 |
| 1336532126 | Shirley Vincent | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-03-18 |
| 1609267707 | Princy Mary Paulose | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-02-10 |
| 1992102644 | Danielle Decesare | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1083137970 | Dian Patricia Grandison | Family Medicine | 25 Beekman St, Staten Island, NY 10302-2006 | 2017-07-21 |
| 1184092314 | Girgis Md Pllc | Family Medicine | 1332a Rockland Ave, Staten Island, NY 10314-4944 | 2015-09-03 |
| 1790163996 | Tamara Anna Marie Saukin Md PC | Family Medicine | 1920 Richmond Rd, Staten Island, NY 10306-2551 | 2015-05-08 |
| 1629474283 | Rani Medical, PC | Family Medicine | 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 | 2014-11-10 |
| 1861735656 | Liudmila A Skudnov | Family Medicine | 1000 Targee St Apt 4t, Staten Island, NY 10304-4472 | 2013-04-01 |
| 1952664351 | Biana Volfinzon | Family Medicine | 187 Arbutus Ave, Staten Island, NY 10312-4500 | 2012-06-20 |
| 1548534324 | Ming Yeung Chung | Family Medicine | 56 Jenna Ln, Staten Island, NY 10304-1322 | 2012-02-27 |
| 1619110707 | Joaquin C Gutierrez Jr. | Family Medicine | 124 Getz Ave, Staten Island, NY 10312-2114 | 2009-04-20 |
| 1588823025 | Zoya Koroleva | Family Medicine | 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 | 2008-06-09 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.