NPIMap

Organization Active NPI

Chixin Fang Medical P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1174772818
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234095 Issued in NY
Legal business name
CHIXIN FANG MEDICAL P.C.
Practice address
730 58TH St # 1a
Brooklyn, NY 11220-3917
Phone
(718) 439-7288
Fax
(718) 439-0788
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Chixin Fang, M.D.
Title
President
Phone
(718) 439-7288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 234095 NY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 249103-1 NY

Addresses

Primary practice location

730 58TH St # 1a
Brooklyn, NY 11220-3917

Mailing address

730 58TH Street
1A
Brooklyn, NY 11220-3917
Phone (718) 439-7288

Other practice location 1

5803 7th Avenue
1 Floor
Brooklyn, NY 11220-3904
Phone (718) 439-7288

Other identifiers 1

IdentifierTypeStateIssuer
02597542MedicaidNY

National Provider Directory

National Provider Directory

Locations

730 58th St
Ste 1A
Brooklyn, NY 11220
Phone (718) 439-7288

5803 7th Ave
#1
Brooklyn, NY 11220
Phone (718) 439-7288

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174772818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 58TH STREET",
            "address_2": "1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-439-7288",
            "fax_number": "718-439-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 58TH ST # 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-439-7288",
            "fax_number": "718-439-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5803 7th Avenue",
            "address_2": "1 Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203904",
            "country_code": "US",
            "telephone_number": "718-439-7288",
            "fax_number": "718-439-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIXIN FANG MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "CHIXIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-439-7288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234095",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "249103-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02597542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.