Active NPI
Alpha Internal Medicine PC
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1316244635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 255967
- Legal business name
- ALPHA INTERNAL MEDICINE PC
- Practice address
- 2435 Victory Blvd
Staten Island, NY 10314-6633 - Phone
- (718) 370-9778
- Fax
- (718) 370-9783
- NPI assigned
- Feb 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sydney Xin Chen, M.D.
- Title
- President
- Phone
- (718) 370-9778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 255967 | NY | Primary |
Addresses
Primary practice location
2435 Victory Blvd
Staten Island, NY 10314-6633
Mailing address
2435 Victory Blvd
Staten Island, NY 10314-6633
Phone (718) 370-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1298419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298419200000",
"number": "1316244635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146633",
"telephone_number": "718-370-9778",
"fax_number": "718-370-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146633",
"telephone_number": "718-370-9778",
"fax_number": "718-370-9783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA INTERNAL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-23",
"last_updated": "2011-02-23",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "SYDNEY",
"authorized_official_middle_name": "XIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-370-9778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "255967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.