George Chase Medical Physician PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

GEORGE CHASE MEDICAL PHYSICIAN PLLC

Practice address

11960 Metropolitan Ave
Kew Gardens, NY 11415-2606

Phone

(718) 441-0908

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. George Chase, DONPI 1396220083

Title

Owner/Doctor

Phone

(516) 395-5909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• George Chase, DO

  • Interventional Pain Medicine Physician
  • Kew Gardens, NY
  • NPI 1396220083

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1184463218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152606",
            "telephone_number": "718-441-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 METROPOLITAN AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152606",
            "telephone_number": "718-441-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE CHASE MEDICAL PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "516-395-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Gambino, LMSW
• Rosanne Gangi-Gaertner, MA CCC-SLP
• Jacob Ganz, LMHC
• Christina Garcia
• Larisa Gavrielova
• Stamatoula Georgiou
• Martin B Gillman Sr., DC
• Lamar Gilmore, LCSW
• Irina Glezer, OTR/L
• Rohit Gokhale, M.B.B.S

• Interventional Pain Medicine Physician in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.