Active NPI
Constance Marian Chen, MD, MPH
- Plastic and Reconstructive Surgery Physician
- New York, NY
National Provider Identifier
1083824718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 236558-1
- Practice address
- 166 5TH Ave
2ND Floor
New York, NY 10010-5909 - Phone
- (212) 792-6378
- Fax
- (212) 504-9511
- NPI assigned
- May 23, 2007
- Last updated
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 236558-1 | NY | Primary |
Addresses
Primary practice location
166 5TH Ave
2ND Floor
New York, NY 10010-5909
Mailing address
5 Tudor City Place
Apt 1705
New York, NY 10017-6853
Phone (212) 792-6378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236558-1 | NY | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Dermatology Services of Kingston P.C. | Past | Accepting new patients | |
| BB Medical and Dermatology Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- New York, NY
- NPI 1346575024
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1760810808
-
dba BB medical and dermatology
- MOHS-Micrographic Surgery Physician
- New York, NY
- NPI 1790210516
-
- Procedural Dermatology Physician
- Kingston, NY
- NPI 1699713040
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1083824718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TUDOR CITY PLACE",
"address_2": "APT 1705",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176853",
"telephone_number": "212-792-6378",
"fax_number": "212-504-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 5TH AVE",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105909",
"telephone_number": "212-792-6378",
"fax_number": "212-504-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CONSTANCE",
"middle_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "236558-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.