Active NPI
New York Primary Care Medicine PC
- Family Medicine Physician
- New York, NY
National Provider Identifier
1093815771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEW YORK PRIMARY CARE MEDICINE PC
- Practice address
- 639 W 185TH St
New York, NY 10033-3102 - Phone
- (212) 568-6156
- Fax
- (212) 927-5719
- NPI assigned
- Sep 23, 2006
- Last updated
- Sep 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan F Chabla, M.D
- Title
- President
- Phone
- (212) 568-6156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
639 W 185TH St
New York, NY 10033-3102
Mailing address
639 W 185TH St
New York, NY 10033-3102
Phone (212) 568-6156
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1059936 | New York Primary Care Medicine PC | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
639 W 185th St
New York, NY 10033
Phone (212) 568-6156
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDCABA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1093815771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 W 185TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333102",
"telephone_number": "212-568-6156",
"fax_number": "212-927-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 W 185TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100333102",
"telephone_number": "212-568-6156",
"fax_number": "212-927-5719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK PRIMARY CARE MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-23",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "CHABLA",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-568-6156",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- New York Presbyterian Weill Cornell
- New York Presbyterian Weill Cornell Medicine
- New York Presbyterian- Columbia University Medical Center
- New York Presbyterian/Weill Cornell Hospital
- New York Presybterian Hospital
- New York Private Medical Imaging Practice, PLLC
- New York Professional Medical Care,PC
- New York Psychiatric Institute
- New York Psychiatric Institute
- New York Psychiatry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.