Manhattan Canal Medical, P.C.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

MANHATTAN CANAL MEDICAL, P.C.

Practice address

202 Canal St Ste 602
New York, NY 10013-4517

Phone

(917) 261-2718

Fax

(917) 261-2719

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Norman Jermane Chan, MDNPI 1003103615

Title

Owner

Phone

(201) 370-4099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norman Jermane Chan, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • New York, NY
  • NPI 1003103615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1154838977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CANAL ST STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "917-261-2718",
            "fax_number": "917-261-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CANAL ST STE 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "917-261-2718",
            "fax_number": "917-261-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN CANAL MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "JERMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-370-4099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology/Facial Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.