Vichika Than, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

P136447 Issued in NY

Practice address

6136 170TH St
Fresh Meadows, NY 11365-1900

Phone

(718) 709-0940

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1043101884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 TOWNHOUSE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332384",
            "telephone_number": "717-572-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 170TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651900",
            "telephone_number": "718-709-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAN",
        "first_name": "VICHIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P136447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Taylor, M.D., M.B.A.
• Michelle Taylor, MS OTR/L
• TC Children Services Inc
• Venatsa Terreus
• Raicine Mia Terry
• Maria Thanjan, MD
• The Beauty Source Inc.
• The Queens NP Acute Care P.C.
• Theracontractors Inc
• Andrea Thomas

• General Practice Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.