Elmhurst Podiatry Group PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003901 Issued in NY

Legal business name

ELMHURST PODIATRY GROUP PC

Practice address

8708 Justice Ave
Suite CX
Elmhurst, NY 11373-4575

Phone

(718) 446-4230

Fax

(718) 457-7015

NPI assigned

May 17, 2006

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Collier Chan, DPMNPI 1700831518

Title

President

Phone

(718) 446-4230

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Collier Chan, DPM

  • Podiatrist
  • Elmhurst, NY
  • NPI 1700831518
  Authorized official Same address or phone

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1174575989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE",
            "address_2": "SUITE CX",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734575",
            "telephone_number": "718-446-4230",
            "fax_number": "718-457-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 JUSTICE AVE",
            "address_2": "SUITE CX",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734575",
            "telephone_number": "718-446-4230",
            "fax_number": "718-457-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST PODIATRY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "COLLIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-446-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003901",
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": "NY",
            "license": "N003901",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003901",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "N003901",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N003901",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003901",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmhurst Medical PLLC
• Elmhurst Medical Provider Inc
• Elmhurst Orthodontics, PC
• Elmhurst Pharmacy & Home Infusion Inc (Elmhurst Pharmacy & Home Infusion)
• Elmhurst Pharmacy, Inc.
• Elmhurst Queens Gastroenterology and Hepatology Medical Consultant P.C
• Elmhurst Services, Inc
• Elmhurst Speech Language Pathology PLLC (Tiger Speech Therapy)
• Elmhurst United Medical PC
• Elmhurst Women's Medical, PC

• Podiatrist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.