Individual provider Active NPI

Albert K Chen, MD

  • Psychiatry Physician
  • Elmira, NY
National Provider Identifier
1053342576
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
110105MD Issued in NY
Practice address
361 W Water St
Elmira, NY 14905-2519
Phone
(607) 733-0780
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 110105 NY
Psychiatry Physician 2084P0800X 110105MD NY Primary

Addresses

Primary practice location

361 W Water St
Elmira, NY 14905-2519

Mailing address

852 Upland Drive
Elmira, NY 14905-1421
Phone (607) 732-0921

Other identifiers 1

IdentifierTypeStateIssuer
00399000MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000692 NY Practitioner - Psychiatry 5698846160 Reassigns benefits to 1 organization
Practice locations: Elmira, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110105NYMDSocial Worker
110105MDNYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Chemung County, Inc. Psychiatry CurrentSince Feb 23, 2015 Accepting new patients

Locations

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1053342576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 UPLAND DRIVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051421",
            "telephone_number": "607-732-0921",
            "fax_number": "607-732-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052519",
            "telephone_number": "607-733-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ALBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "110105",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "110105MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.