Lower East Side Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

213958 Issued in NY

Legal business name

LOWER EAST SIDE FAMILY MEDICINE PLLC

Practice address

260 E Broadway Ste 2
New York, NY 10002-5609

Phone

(212) 777-4329

Fax

(212) 777-4301

NPI assigned

Sep 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Chan, M.D.NPI 1922190388

Title

Sole Member/Owner

Phone

(212) 777-4329

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

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

• Teresa T Chan, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1922190388
  Medicare reassignment NPD Authorized official
• Serena T Chan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
  • NPI 1891349981
  NPD

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1356692859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025609",
            "telephone_number": "212-777-4329",
            "fax_number": "212-777-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025609",
            "telephone_number": "212-777-4329",
            "fax_number": "212-777-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER EAST SIDE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "212-777-4329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carena Lowenthal, M.S.,R.D
• Catherine Fisher Lowenthal
• David Alan Lowenthal, M.D.
• Kate Lowenthal, MD
• Leora S Lowenthal, LCSW
• Lower East Side Family Union
• Lower Eastside Psychiatry PLLC
• Lower Eastside Service Center
• Lower Eastside Service Center
• Lower Eastside Service Center, Inc.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.