DR. CHAD LUE (NPI# 1427461417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427461417 |
| Entity Type | Individual |
| Full Name | DR. CHAD LUE |
| Credential | D.O. |
| Practice Address |
1515 Southern Blvd Bronx NY 10460-5980 |
| Mailing Address |
1065 Southern Boulevard Bronx NY 10459 |
| Practice Telephone | 7184893991 |
| Mailing Telephone | 7185892440 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 287192 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 287192 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1065 Southern Blvd, Bronx, NY 104592417 | 7185892440 | |
| 260 E 188th St, Bronx, NY 104585302 | 7186188365 |
| Street Address |
1515 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10460-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790794709 | Faith Janell Azul | Physical Therapist | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2006-08-07 |
| 1013334820 | Natalie Pleitez | Respiratory Therapist, Registered | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2014-03-19 |
| 1215280425 | Libanesa Sepulveda | Dental Hygienist | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2012-10-25 |
| 1952657975 | Juan Carlos De Marchena | Social Worker | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2012-07-27 |
| 1467724559 | Michael Navas | Social Worker | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2012-02-03 |
| 1346512431 | Ashley Renee Groesbeck | Social Worker | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2012-02-03 |
| 1700042298 | Rachel L Samuels | Pediatrics | 1515 Southern Blvd, Bronx, NY 10460 | 2008-08-04 |
| 1326111980 | Maura Suzanne Moloney | Nurse Practitioner | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2006-11-15 |
| 1144309246 | Robert Kaufman | Pharmacist | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2006-11-02 |
| 1013096114 | Andrew Paul Silverman | Pharmacist | 1515 Southern Blvd, Bronx, NY 10460-5980 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488044 | Alyssa Lopez | Occupational Therapy Assistant | 1909 Longfellow Ave, Bronx, NY 10460 | 2019-10-15 |
| 1730743287 | Kailey Brianne Sabel | Occupational Therapist | 1899 Longfellow Avenue, Bronx, NY 10460 | 2019-04-30 |
| 1386208585 | Audrey Lachapelle | Dentist | 1400 Pelham Parkway South, Building 1, Room 3ne-1, Bronx Jacobi Medical Center, Department Of, New York City, NY 10460 | 2019-04-24 |
| 1174093041 | Temika Codrington | Registered Nurse | 2103-5 Honeywell Ave., 3n, Bronx, NY 10460 | 2018-12-04 |
| 1306323084 | Uhc Adult Day Program & Transport Services Inc | Clinic/Center | 1490 Crotona Parkway East, Bronx, NY 10460 | 2018-07-25 |
| 1316440969 | Lcm Livery Pu Inc | Taxi | 1466 Beach Ave 12a, Bronx, NY 10460 | 2018-03-09 |
| 1104348051 | Vivianet De La Cruz | Specialist | 1909 Longfellow Avenue, Bronx, NY 10460 | 2017-07-12 |
| 1932631801 | Alquimedez Mental Health Counseling, Pllc | Counselor | 1154 East Tremont Ave., Alquimedez Mental Health Counseling, Pllc, Bronx, NY 10460 | 2017-03-30 |
| 1013463652 | Angelica Beato | Nurse Practitioner | 1154 East Tremont Avenue, Bronx, NY 10460 | 2016-09-01 |
| 1114396827 | Wendy I Valdez | Social Worker | 901 East 172nd St., 3rd Floor, Bronx, NY 10460 | 2015-09-23 |
| Find all providers in zip 10460 | ||||
| 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 |
|---|---|---|---|---|
| 1700439031 | Cargill Comprehensive Care Services | Family Medicine | 1054 E 231st St, Bronx, NY 10466-4806 | 2019-07-16 |
| 1346775640 | Elena Hill | Family Medicine | 1276 Fulton Ave Fl 1, Bronx, NY 10456-3402 | 2017-04-24 |
| 1700337508 | Mayte Montufar | Family Medicine | 2136 Muliner Ave Fl 1, Bronx, NY 10462-2003 | 2016-10-18 |
| 1306296561 | Stephen Asiedu Medical Practice, P.C. | Family Medicine | 1245b Edward L Grant Hwy, Bronx, NY 10452-3101 | 2016-06-20 |
| 1336595008 | Chantal Nathalie Ogle | Family Medicine | 1054 Simpson St, Bronx, NY 10459-2404 | 2016-05-11 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1235542549 | Welisane Bebe | Family Medicine | 1276 Fulton Ave, 4th Floor, Bronx Lebanon Hospital, Bronx, NY 10456 | 2014-06-04 |
| 1386081545 | Geoffrey Sheppard Dunn | Family Medicine | 68 E 161st St Fl 13, Bronx, NY 10451-2207 | 2013-05-29 |
| 1629413372 | Liliana Monica Taich | Family Medicine | 3050 Corlear Ave Ste 201, Bronx, NY 10463-5181 | 2013-05-08 |
| 1184968232 | Lwhmedical PC | Family Medicine | 1811 Hone Ave, Bronx, NY 10461-1406 | 2012-11-15 |
| Find all providers in BRONX | ||||
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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.