Organization Active NPI

Chinatown Medical Consultation, PLLC

  • Medical Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1346479839
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
241247 Issued in NY
Legal business name
CHINATOWN MEDICAL CONSULTATION, PLLC
Practice address
139 Centre St
RM 302
New York, NY 10013-4552
Phone
(212) 219-2269
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Henghe Tian, M.D.NPI 1780875930
Title
President
Phone
(646) 256-4025

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 241247 NY Primary

Addresses

Primary practice location

139 Centre St
RM 302
New York, NY 10013-4552

Mailing address

139 Centre St
RM 302
New York, NY 10013-4552
Phone (212) 219-2269

Other identifiers 1

IdentifierTypeStateIssuer
03123526MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090929000542 NY Part B Supplier - Clinic/Group Practice 6204972599 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 302
New York, NY 10013
Phone (212) 219-2269

70 Bowery
Rm 504
New York, NY 10013
Phone (212) 431-9626

Practitioners & affiliated clinicians

Practitioners 3

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": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1346479839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "RM 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-219-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "RM 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "212-219-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN MEDICAL CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "TIAN",
        "authorized_official_first_name": "HENGHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-256-4025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "241247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03123526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.