Look up the most recent NPI and PECOS records

Chenguang Tony Tao

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CHENGUANG TAO.

Based on the most recent information from CMS, provider Chenguang Tony Tao is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1720304066
Provider Type
Individual
Full Name
Tao, Chenguang Tony
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/12/2010
Last Updated
7/9/2013

Contact Information

Practice Location

10 E 102nd St, New York, NY 10029-6030

(212) 241-6585

Unlisted Fax

Mailing Location

1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504

(212) 987-3100

(212) 731-5210

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 269048 New York

Chenguang Tony Tao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sirbu, Laura

Mitta, Srilakshmi

Yusuf, Marwan Nihad Abdel Rauf

Bryant, Kelsey

Horowitz, Carol R

Uptown Medical Services Pc

Allyn, Katherine

Bresler, Priscilla A

Sohn, Natalie

Small, Katherine Morgan