Provider Demographics
NPI:1124013230
Name:CHENG, YE (MD)
Entity Type:Individual
Prefix:
First Name:YE
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 84TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3131
Mailing Address - Country:US
Mailing Address - Phone:718-492-2008
Mailing Address - Fax:718-492-2003
Practice Address - Street 1:5717 7TH AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3902
Practice Address - Country:US
Practice Address - Phone:718-492-2008
Practice Address - Fax:718-492-2003
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11-3563769OtherMULTIPLAN
NY113563769OtherPHCS
NY3C7614OtherHEALTH NET
NY229800OtherHIP
NY229800-B15OtherHEALTH FIRST
NY0101768-01OtherAMERICHOICE
NY02510281Medicaid
NY176750101OtherHEALTH PLUS
NY113563769OtherEMPIRE PLAN UHC
NY7109527OtherAETNA PPO
NYCY9800OtherATLANTIS HEALTH PLAN
NY229800OtherHIP
NY11-3563769OtherMULTIPLAN