Organization Active NPI

Wilson C. Chau Physician, PLLC

  • Plastic Surgery Physician
  • Flushing, NY
National Provider Identifier
1376941294
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
196506 Issued in NY
Legal business name
WILSON C. CHAU PHYSICIAN, PLLC
Practice address
4231 Colden Street 109
Flushing, NY 11355-3982
Phone
(718) 661-3100
Fax
(718) 661-2730
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Wilson C Chau, M.D.NPI 1154334993
Title
Physician/Owner
Phone
(718) 661-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 196506 NY Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 196506 NY

Addresses

Primary practice location

4231 Colden Street 109
Flushing, NY 11355-3982

Mailing address

4231 Colden Street 109
Flushing, NY 11355-3982
Phone (718) 661-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150422001556 NY Part B Supplier - Clinic/Group Practice 0648598649 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4231 Colden St
Ste 109
Flushing, NY 11355
Phone (718) 661-3100

Practitioners & affiliated clinicians

Practitioners 1

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": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1376941294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 COLDEN STREET 109",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553982",
            "telephone_number": "718-661-3100",
            "fax_number": "718-661-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 COLDEN STREET 109",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553982",
            "telephone_number": "718-661-3100",
            "fax_number": "718-661-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON C. CHAU PHYSICIAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "718-661-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "196506",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "196506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.