Individual provider Active NPI

Danny Chan, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1073073219
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007265 Issued in NY
Practice address
385 5TH Ave RM 1410
New York, NY 10016-3338
Phone
(212) 284-6868
Fax
(212) 470-6868
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007265 NY Primary

Addresses

Primary practice location

385 5TH Ave RM 1410
New York, NY 10016-3338

Mailing address

385 5TH Ave RM 1410
New York, NY 10016-3338
Phone (212) 284-6868

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410003897 NY Practitioner - Podiatry 4486984325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007265NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Podiatry Group PLLC Foot & Ankle Surgery Past Accepting new patients
Jonathan R Roy DPM PC Foot & Ankle Surgery PastSince Jul 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dchan71594@northwell.direct-ci.com

Organizations & group practices 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1073073219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 5TH AVE RM 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163338",
            "telephone_number": "212-284-6868",
            "fax_number": "212-470-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 5TH AVE RM 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163338",
            "telephone_number": "212-284-6868",
            "fax_number": "212-470-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DANNY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.