Shi Jen Cheng, MD is a
Pediatrics physician based in East Haven, Connecticut. Shi Jen Cheng is licensed to practice in Connecticut (license number 036005) and his current practice location is 300 Main St, East Haven, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 469-8882.
NPI number for Shi Jen Cheng is 1053300822 and his current mailing address is 300 Main St, East Haven, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053300822.
Physician's Profile
| Full Name | Shi Jen Cheng |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 300 Main St, East Haven, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053300822
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shi Jen Cheng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053300822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 036005 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shi Jen Cheng is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shi Jen Cheng, MD
300 Main St,
East Haven, CT 06512-2904
Ph: (203) 469-8882 | Shi Jen Cheng, MD
300 Main St,
East Haven, CT 06512-2904
Ph: (203) 469-8882 |
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