Doctor Chan Medical Practice, PC

Primary specialty

Cardiovascular Invasive Specialist/TechnologistTaxonomy code 246XC2901X

License

193850 Issued in NY

Legal business name

DOCTOR CHAN MEDICAL PRACTICE, PC

Practice address

202 Canal St Ste 801
New York, NY 10013-4517

Phone

(212) 406-2301

Fax

(212) 406-2359

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel S. Chan, M.D.NPI 1841253267

Title

President

Phone

(212) 406-2301

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Samuel S Chan, M.D.

  • Cardiovascular Invasive Specialist/Technologist
  • New York, NY
  • NPI 1841253267
  Medicare reassignment Care Compare group Authorized official
• Ananth Adurthy Shankar, M.D.

  • Nuclear Cardiology Physician
  • Bronx, NY
  • NPI 1811153695

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sam Tsung- Ming Kwauk, M.D.

  • Surgery Physician
  • New York, NY
  • NPI 1609811231
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1376729426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CANAL ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "212-406-2301",
            "fax_number": "212-406-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CANAL ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517",
            "telephone_number": "212-406-2301",
            "fax_number": "212-406-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR CHAN MEDICAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-406-2301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "193850",
            "primary": false
        },
        {
            "code": "246XC2901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": "NY",
            "license": "193850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01617692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Docpanel Ca PC
• Docpanel de LLC
• Docpanel KS PA
• Docs Physicians Affiliated With Bimc
• Doctor Administration Services, LLC
• Doctor K Private Medicine PLLC
• Dane Michael Doctor, M.D.
• Emily Louise Doctor, DNP, FNP-BC
• Lianne Doctor
• Michael Benjamin Doctor, M.D.

• Cardiovascular Specialist/Technologist in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.