Provider Demographics
NPI:1801986500
Name:CHEN, YUPING (MD)
Entity type:Individual
Prefix:DR
First Name:YUPING
Middle Name:
Last Name:CHEN
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 1:13621 ROOSEVELT AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5507
Mailing Address - Country:US
Mailing Address - Phone:718-353-2536
Mailing Address - Fax:718-359-9247
Practice Address - Street 1:13621 ROOSEVELT AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5507
Practice Address - Country:US
Practice Address - Phone:718-353-2536
Practice Address - Fax:718-359-9247
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214509207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000033816OtherAFFINITY
OH1861OtherBLUE CROSS BLUE SHIELD
214509OtherHEALTHFIRST
P2040091OtherOXFORD
1929682OtherUNITED HEALTHCARE
060814000093OtherFIDELIS
2212316OtherAETNA HMO
434453NOtherCIGNA
171734OtherWELLCARE
214509OtherHIP
2596887OtherGHI
2C6550OtherHEALTH NET
46764OtherGHI HMO
7036024OtherAETNA PPO
04-05586OtherUNITED HEALTHCARE
NY01997048Medicaid
171734OtherWELLCARE
434453NOtherCIGNA
H00619Medicare UPIN