Active NPI
Wilson C. Chau Physician, PLLC
- Plastic Surgery Physician
- Flushing, NY
National Provider Identifier
1376941294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 196506
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 196506 | NY | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Flushing, NY
- NPI 1154334993
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.