Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Su Lat Aung, MD

Individual provider Hospitalist Physician · NPI 1013537422

Su Lat Aung, MD is a Hospitalist in Staten Island, New York. Qualified in 2010, 16 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave Dept OF Medicine Villa Bldg 1ST Fl
Staten Island, NY 10310
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 — (707) 546-3210

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A180873 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013537422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing address355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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