EAST WEST INTEGRATED MEDICAL PC
NPI 1124211586
Clinic/Center - Primary Care in New York, NY
About East West Integrated Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST WEST INTEGRATED MEDICAL PC (NPI 1124211586) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since August 2007. The organization lists Tze-jung Su, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East West Integrated Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to East West Integrated Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East West Integrated Medical PC's NPI number?
The NPI number for East West Integrated Medical PC is 1124211586. It was assigned to this organization in the NPPES registry on August 20, 2007.
Where is East West Integrated Medical PC located?
East West Integrated Medical PC is located at 350 Central Park West 1D, New York, NY 10025. The listed phone number is (212) 886-2602.
What is East West Integrated Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is East West Integrated Medical PC enrolled in Medicare?
Yes. East West Integrated Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East West Integrated Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to East West Integrated Medical PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East West Integrated Medical PC was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# East West Integrated Medical Pc · NPI 1124211586
Primary Care organization in New York, New York. Organization record, active in the CMS NPPES registry since August 20, 2007.
## Identity
- **NPI:** 1124211586 (Entity type: Organization)
- **Enumerated:** August 20, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Tze-Jung Su, PRESIDENT
## Practice location
- **Address:** 350 CENTRAL PARK WEST 1D, New York, NY 10025
- **Phone:** (212) 886-2602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124211586) · Data from the CMS NPPES public registry.