Individual provider Active NPI

Michael Jonathan Chandler, M.D.

  • Allergy & Immunology Physician
  • New York, NY
National Provider Identifier
1235280660
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
156469 Issued in NY
Practice address
115 E 61St St
New York, NY 10021-8183
Phone
(212) 486-6715
Fax
(212) 935-0092
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 156469 NY Primary

Addresses

Primary practice location

115 E 61St St
New York, NY 10021-8183

Mailing address

115 E 61St St
New York, NY 10021-8183
Phone (212) 486-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000793 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3870549330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E 61St St
FL 12
New York, NY 10065-8183
Phone (212) 486-6715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jan 2, 2014 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 2, 2014 Accepting new patients
Michael J. Chandler MD, PLLC CurrentSince Mar 28, 2005 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients

Locations

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

115 E 61st St
Fl 12
New York, NY 10065
Phone (212) 486-6715

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAEJCA/Endpoint/EAEJCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1235280660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218183",
            "telephone_number": "212-486-6715",
            "fax_number": "212-935-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 61ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218183",
            "telephone_number": "212-486-6715",
            "fax_number": "212-935-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MICHAEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "156469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.