Active NPI
Albert K Chen, MD
- Psychiatry Physician
- Elmira, NY
National Provider Identifier
1053342576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 110105MD
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00399000 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110105 | NY | MD | Social Worker |
| 110105MD | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Chemung County, Inc. | Psychiatry | Current | 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
- Chemung County Early Intervention Program
- Chemung County Health Ctr.-Nursing Facility
- Chemung Family Dental PLLC
- Chemung Medical Services PC
- Chemung-Schuyler Counties Chapter, Nysarc, Inc.
- Jing Ran Chen, M.D.
- Weiheng Chen, OD PHD
- Larissa Cheplick, PA-C
- Steven Michael Cheplick, RPH,M.B.A
- Joseph Cherkis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.