Provider Demographics
NPI:1376589770
Name:ZHENG, SHUANGWU (MD)
Entity Type:Individual
Prefix:
First Name:SHUANGWU
Middle Name:
Last Name:ZHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:ZHENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:126 FORT HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3206
Mailing Address - Country:US
Mailing Address - Phone:914-395-1098
Mailing Address - Fax:718-795-1979
Practice Address - Street 1:74 WEST CEDAR STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1335
Practice Address - Country:US
Practice Address - Phone:845-454-7100
Practice Address - Fax:845-454-7101
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001127171100000X
NY219658208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No171100000XOther Service ProvidersAcupuncturist
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY219658OtherSTATE LICENSE
NY06250OtherGHI MEDICARE PIN
NY06250OtherGHI MEDICARE PIN
NYH30143Medicare UPIN
NYBZ7055658OtherDEA CERTIFICATE
NY7521320001Medicare NSC