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DR. NINA LAM CHEUNG M.D.
NPI 1013177112
Internal Medicine in Philadelphia, PA

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
231 N BROAD ST, SUITE 100, PHILADELPHIA, PA 19107(215) 557-0212 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nina Lam Cheung M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NINA LAM CHEUNG M.D. (NPI 1013177112) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA09399000) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Drexel University College Of Medicine (2006).

NPPES Registry Identity

NPI1013177112
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NINA LAM CHEUNGCredential: M.D.
Location Address231 N BROAD ST, SUITE 100Philadelphia, PA 19107-1511
Mailing Address5819 Wayne AvePhiladelphia, PA 19144-3315 · (215) 849-1138
Phone(215) 557-0212
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2006
Enumeration DateJune 11, 2008
Last NPPES UpdateAugust 16, 2018
✔ NPI 1013177112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA09399000✔ Licensed in PA · MD436263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
231 N BROAD ST, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nina Lam Cheung M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628124807
PECOS Enrollment IDI20140410001656
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Nina Cheung reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consensus Medical Group LLC
58 mi
Internal Medicine
2399 ROUTE 34 BLDG A5
Manasquan, NJ 08736
  • Reassigned Medicare billing, New Jersey enrollment
  • 150 clinicians in this Medicare group
NPI 1811466881 (732) 528-5533
Doctor's Office Of West Caldwell LLC
77 mi
Urgent Care
556 PASSAIC AVE
West Caldwell, NJ 07006
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Doctors Office Of West Caldwell LLC
  • 42 clinicians in this Medicare group
NPI 1144524786 (973) 808-2273
Excel Urgent Care Of Paramus LLC
91 mi
Internal Medicine
110 RIDGEWOOD AVENUE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1063652220 (201) 265-9500
Mpv New Jersey MD Services PC
93 mi
General Practice
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 189 clinicians in this Medicare group
NPI 1215391271 (201) 781-1387
Optum Medical Care Of New Jersey PC
95 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE MOIRA FITZPATRICK MD
Internal Medicine
231 N BROAD ST, SUITE 100
PHILADELPHIA, PA 19107
Philadelphia County (215) 557-0212
DR. MARY MARGARET MORAN M.D.
Pediatrics
231 N BROAD ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 523-6601
LYONS-CHVALA NEPHROLOGY ASSOCIATES
Specialist
231 N BROAD ST, 3RD FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 751-0606
DAVID SHERWOOD WHEELER MD
Internal Medicine (Pulmonary Disease)
231 N BROAD ST
PHILADELPHIA, PA 19107
Philadelphia County (445) 300-9011
DR. MUNISH RAI BAKSHI M.D.
Family Medicine
231 N BROAD ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-5145
DARLENE FORTH MD PC MD.
Physical Medicine & Rehabilitation
231 N BROAD ST, FIRST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-8443
DARLENE L FORTH MD PC
Physical Medicine & Rehabilitation
231 N BROAD ST, FIRST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 762-8443
DR. DANIEL RANDOLPH TAYLOR D.O.
Pediatrics
231 N BROAD ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 523-6601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina Cheung's NPI number?

The NPI number for Nina Cheung is 1013177112. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Nina Cheung located?

Nina Cheung practices at 231 N Broad St Suite 100, Philadelphia, PA 19107. The listed phone number is (215) 557-0212.

What is Nina Cheung's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nina Cheung enrolled in Medicare?

Yes. Nina Cheung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nina Cheung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Cheung reassigns Medicare benefits to 5 organizations: Consensus Medical Group LLC (Manasquan, NJ), Doctor's Office Of West Caldwell LLC (West Caldwell, NJ), Excel Urgent Care Of Paramus LLC (Paramus, NJ), Mpv New Jersey MD Services PC (Westwood, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nina Cheung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nina Cheung accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nina Cheung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nina Cheung affiliated with any hospitals?

According to CMS data, Nina Cheung is affiliated with Holy Name Medical Center, Valley Hospital, Englewood Hospital And Medical Center and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Nina Cheung was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.