Active NPI
Norman Jermane Chan, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1003103615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 282881
- Practice address
- 202 Canal St
Ste 602
New York, NY 10013-4517 - Phone
- (917) 261-2718
- Fax
- (917) 261-2719
- NPI assigned
- Jul 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MT199956 | PA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 282881 | NY | Primary |
Addresses
Primary practice location
202 Canal St
Ste 602
New York, NY 10013-4517
Mailing address
202 Canal St
Ste 602
New York, NY 10013-4517
Phone (917) 261-2718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 Canal St
Suite 602
New York, NY 10013-4517
Phone (917) 261-2718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT199956 | PA | MD | Otolaryngology Physician |
| 282881 | NY | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Canal Medical, P.C. | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
Locations
202 Canal St
Ste 602
New York, NY 10013
Phone (917) 261-2718
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
- NPI 1154838977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1003103615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CANAL ST",
"address_2": "STE 602",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134517",
"telephone_number": "917-261-2718",
"fax_number": "917-261-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CANAL ST",
"address_2": "STE 602",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134517",
"telephone_number": "917-261-2718",
"fax_number": "917-261-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "NORMAN",
"middle_name": "JERMANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-03",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MT199956",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "282881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.