Emily Linda Chan, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

242079 Issued in NY

Legal business name

EMILY LINDA CHAN, MD, PC

Practice address

53 Elizabeth St
Suite 4B
New York, NY 10013-4617

Phone

(212) 226-6468

Fax

(212) 226-6469

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Emily Linda Chan, M.D.NPI 1609946599

Title

President/Owner

Phone

(212) 226-6468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Emily Linda Chan, M.D.

  • Specialist
  • New York, NY
  • NPI 1609946599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1346373404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH ST",
            "address_2": "SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134617",
            "telephone_number": "212-226-6468",
            "fax_number": "212-226-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ELIZABETH ST",
            "address_2": "SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134617",
            "telephone_number": "212-226-6468",
            "fax_number": "212-226-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY LINDA CHAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "212-226-6468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "242079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.