MEDICARE: DR. JEN-TSE CHENG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	137813	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396717864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEN-TSE CHENG M.D.

Provider Business Mailing Address
First Line	:	29 FENIMORE RD
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-2250
Country	:	US
Telephone Number	:	914-725-0009
Fax Number	:	914-725-0009

Provider Business Practice Location Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	212-939-4848
Fax Number	:	914-725-0009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JEN-TSE CHENG M.D.” Practice Location

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