Organization Active NPI

Alice Man Chan, CCC-Audiology, PC

  • Audiologist-Hearing Aid Fitter
  • New York, NY
National Provider Identifier
1154866671
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
ALICE MAN CHAN, CCC-AUDIOLOGY, PC
Practice address
139 Centre St
Suite 803
New York, NY 10013-4552
Phone
(212) 406-1968
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Alice Man Chan, AU.D.
Title
President
Phone
(212) 406-1968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

139 Centre St
Suite 803
New York, NY 10013-4552

Mailing address

202 Shore Rd
Douglaston, NY 11363-1118
Phone (718) 353-5626

Other identifiers 1

IdentifierTypeStateIssuer
01690055MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Alice Man Chan CCC Audiology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1154866671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SHORE RD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631118",
            "telephone_number": "718-353-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-406-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE MAN CHAN, CCC-AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-406-1968",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01690055",
            "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 Dec 20, 2016; 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.