Todt Hill Digestive Medical Disease, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TODT HILL DIGESTIVE MEDICAL DISEASE, PC

Practice address

78 Todt Hill Road
Suite 301
Staten Island, NY 10314-4536

Phone

(718) 986-5394

Fax

(718) 785-9864

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Wallen Chan, MD

Title

President

Phone

(718) 448-1122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1245773829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TODT HILL RD",
            "address_2": "SUITE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144513",
            "telephone_number": "718-986-5394",
            "fax_number": "718-785-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL ROAD",
            "address_2": "SUITE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144536",
            "telephone_number": "718-986-5394",
            "fax_number": "718-785-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODT HILL DIGESTIVE MEDICAL DISEASE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-448-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Todaro
• Todd Wohl Physical Therapy, PLLC
• Toddler Infant Program for Special Education, Inc
• Paula Todman, LCSW
• Aleksandra Todorova, MD
• Todt Hill Endoscopy, P.C.
• Todt Hill Medical Group
• Todt Hill Pharmacy Inc
• Todt Hill Urologic Group, P.C
• Rhinda Toe

• Clinical Medical Laboratory in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.