Organization Active NPI

Chinatown Community Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1376572156
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235195 Issued in NY
Legal business name
CHINATOWN COMMUNITY MEDICAL PC
Practice address
128 Mott St Ste 205, 206 & 207
New York, NY 10013-5540
Phone
(212) 680-0528
Fax
(212) 680-0104
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Yin Sun, M.D.
Title
President
Phone
(212) 680-0528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 235195 NY Primary

Addresses

Primary practice location

128 Mott St Ste 205, 206 & 207
New York, NY 10013-5540

Mailing address

128 Mott St Ste 206&207
New York, NY 10013-5540
Phone (212) 680-0528

Other identifiers 1

IdentifierTypeStateIssuer
02657270MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1042288Chinatown Community Medical PC128 Mott Street - Suite 206, New York, NY 10013Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory

Locations

185 Canal St
#506
New York, NY 10013
Phone (212) 334-1207

80 Bowery
Rm 402
New York, NY 10013
Phone (212) 226-1211

128 Mott St
Ste 205
New York, NY 10013
Phone (212) 680-0528

128 Mott St
Ste 206207
New York, NY 10013
Phone (212) 680-0528

Practitioners & affiliated clinicians

Practitioners 4

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1376572156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 206&207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-680-0528",
            "fax_number": "212-680-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 205, 206 & 207",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-680-0528",
            "fax_number": "212-680-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN COMMUNITY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "YIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-680-0528",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02657270",
            "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 Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.