Active NPI
Alice Man Chan, CCC-Audiology, PC
- Audiologist-Hearing Aid Fitter
- New York, NY
National Provider Identifier
1154866671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01690055 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Alice Man Chan CCC Audiology PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Audiologist-Hearing Aid Fitter
- Flushing, NY
- NPI 1851836290
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.