Organization Active NPI

Chatham Medical PC

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1093758773
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
204645 Issued in NY
Legal business name
CHATHAM MEDICAL PC
Practice address
139 Centre St
Suite 607
New York, NY 10013-4556
Phone
(212) 766-2800
Fax
(212) 766-2066
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Garman T Ho, MDNPI 1891894986
Title
Officer
Phone
(212) 766-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 204645 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 607
New York, NY 10013-4556

Mailing address

PO Box 130227
Co Garman T Ho MD
New York, NY 10013-0986
Phone (212) 766-2800

Other identifiers 1

IdentifierTypeStateIssuer
01862913MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000545 NY Part B Supplier - Clinic/Group Practice 4183670821 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

4235 Main St
Ste 3L
Flushing, NY 11355
Phone (212) 766-2800

139 Centre St
Ste 607
New York, NY 10013
Phone (212) 766-2800

28 E Broadway
Fl 5
New York, NY 10002
Phone (212) 226-2720

Practitioners & affiliated clinicians

Practitioners 3

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1093758773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130227",
            "address_2": "CO GARMAN T HO MD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130986",
            "telephone_number": "212-766-2800",
            "fax_number": "212-766-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134556",
            "telephone_number": "212-766-2800",
            "fax_number": "212-766-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "GARMAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "212-766-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "204645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862913",
            "state": "NY"
        }
    ],
    "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 Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.