NPIMap

Organization Active NPI

Bruce Chin,M.D.,P.C.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1083618490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
135603 Issued in NY
Legal business name
BRUCE CHIN,M.D.,P.C.
Practice address
8071 Utopia Pkwy
Jamaica, NY 11432-1337
Phone
(718) 591-9440
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Chin, M.D.
Title
Director
Phone
(718) 591-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 135603 NY Primary

Addresses

Primary practice location

8071 Utopia Pkwy
Jamaica, NY 11432-1337

Mailing address

8071 Utopia Pkwy
Jamaica, NY 11432-1337
Phone (718) 591-9440

Other identifiers 1

IdentifierTypeStateIssuer
00480084MedicaidNY

National Provider Directory

National Provider Directory

Locations

8071 Utopia Pkwy
Jamaica, NY 11432
Phone (718) 591-9440

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083618490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8071 UTOPIA PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321337",
            "telephone_number": "718-591-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 UTOPIA PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321337",
            "telephone_number": "718-591-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE CHIN,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-591-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "135603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00480084",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.