Organization Active NPI

Canal Medical Services, PLLC

  • Clinic/Center
  • New York, NY
National Provider Identifier
1083983308
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
198051 Issued in NY
Legal business name
CANAL MEDICAL SERVICES, PLLC
Practice address
221 Canal St
Suite 409
New York, NY 10013-4149
Phone
(212) 966-2178
Fax
(212) 925-7695
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Rong-Bao Lu, M.D.
Title
Director
Phone
(212) 966-2178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 198051 NY Primary

Addresses

Primary practice location

221 Canal St
Suite 409
New York, NY 10013-4149

Mailing address

221 Canal St
Suite 409
New York, NY 10013-4149
Phone (212) 966-2178

National Provider Directory

National Provider Directory

Locations

221 Canal St
Rm 409
New York, NY 10013
Phone (212) 966-2178

185 Canal St
#301
New York, NY 10013
Phone (212) 966-2178

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1083983308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CANAL ST",
            "address_2": "SUITE 409",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134149",
            "telephone_number": "212-966-2178",
            "fax_number": "212-925-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CANAL ST",
            "address_2": "SUITE 409",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134149",
            "telephone_number": "212-966-2178",
            "fax_number": "212-925-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAL MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "RONG-BAO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-966-2178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "198051",
            "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 Dec 15, 2011; 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.