KEITH CHU (NPI# 1821223769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821223769 |
| Entity Type | Individual |
| Full Name | KEITH CHU |
| Credential | MD, MPH |
| Practice Address |
2079 Forest Ave Staten Island NY 10303-1865 |
| Practice Telephone | 7188156560 |
| Practice Fax Number | 7188156570 |
| Mailing Telephone | 7188156560 |
| Mailing Fax Number | 7188156570 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 264559 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871537365 | Keith H Chu | Internal Medicine | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5688 | 2006-06-15 |
| Street Address |
2079 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467422758 | Joshua H Lau | Pediatrics | 2079 Forest Ave, Staten Island, NY 10303 | 2006-01-26 |
| 1568022176 | Tina M Williams | Nurse Practitioner | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2019-06-17 |
| 1023579737 | Virginia A Tiralosi | Nurse Practitioner | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2019-03-26 |
| 1427413731 | Kevin Thomas Handsman | Dietitian, Registered | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-12-31 |
| 1801271911 | Beacon Christian Community Health Center | Clinic/Center | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-07-30 |
| 1104262641 | Appu Darly | Registered Nurse | 2079 Forest Ave, Staten Island, NY 10303 | 2013-05-10 |
| 1720355738 | Geraldine A Cadlaon | Nutritionist | 2079 Forest Ave, Staten Island, NY 10303-1735 | 2011-11-18 |
| 1063714020 | Abe Ralph Emile | Social Worker | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2010-11-24 |
| 1487885430 | Betsy J Mathew | Family Medicine | 2079 Forest Ave, Staten Island, NY 10303-1735 | 2009-08-06 |
| 1639304579 | Sharon E Chu | Family Medicine | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| 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 | 10303 |
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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.