Active NPI
Chinatown Community Medical PC
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 235195
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02657270 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1042288 | Chinatown Community Medical PC | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- New York, NY
- NPI 1083928428
-
- Family Nurse Practitioner
- New York, NY
- NPI 1972012805
-
- Physical Therapist
- New York, NY
- NPI 1386722759
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1023099389
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.