Organization Active NPI

New York Primary Care Medicine PC

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1093815771
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1059936New York Primary Care Medicine PC639 West 185TH Street, New York, NY 10033Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

639 W 185th St
New York, NY 10033
Phone (212) 568-6156

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.