Individual provider Active NPI

Danny CHI

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1366917460
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308725 Issued in NY
Practice address
3810 Avenue R
Brooklyn, NY 11234-4422
Phone
(646) 577-7899
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X F308725 NY Primary

Addresses

Primary practice location

3810 Avenue R
Brooklyn, NY 11234-4422

Mailing address

3810 Avenue R
Brooklyn, NY 11234-4422
Phone (646) 577-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327001566 NY Practitioner - Nurse Practitioner 5092055137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
308725NYMDLicensed Practical Nurse
F308725NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damian Family Care Centers, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Damian Family Care Centers, Inc. Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Perry Ave Family Medical Center Inc Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Damian Family Care Centers, Inc. PastSince Jul 13, 2025 Accepting new patients

Locations

2604 3rd Ave
Bronx, NY 10454
Phone (718) 292-0100

3071 Perry Ave
Bronx, NY 10467
Phone (718) 231-6700

599 Ralph Ave
Brooklyn, NY 11233
Phone (347) 501-6306

751 Briggs Hwy
Ellenville, NY 12428
Phone (845) 647-2000

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

8956 162nd St
Jamaica, NY 11432
Phone (347) 505-7000

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

3411 Vernon Blvd
Long Island City, NY 11106
Phone (646) 505-2003

13 Hell Gate Cir
New York, NY 10035
Phone (212) 426-6633

219 E 121st St
New York, NY 10035
Phone (212) 987-5100

225 E 53rd St
New York, NY 10022
Phone (212) 829-1200

216 Fox Hollow Rd
Rhinebeck, NY 12572
Phone (845) 516-1002

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

13020 89th Rd
Richmond Hill, NY 11418
Phone (718) 441-8913

Interoperability endpoints

  • Direct secure messaging: danny.chi@damian.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1366917460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 AVENUE R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344422",
            "telephone_number": "646-577-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 AVENUE R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344422",
            "telephone_number": "646-577-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "DANNY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.