Active NPI
Chen Neighborhood Medical of North Lakeland, LLC
- Specialist
- Lakeland, FL
National Provider Identifier
1407218043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CHEN NEIGHBORHOOD MEDICAL OF NORTH LAKELAND, LLC
- Practice address
- 206 N Florida Ave
Lakeland, FL 33801-4902 - Phone
- (305) 628-6117
- NPI assigned
- Mar 23, 2016
- 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
- Christopher Chen, MD
- Title
- Chief Executive Officer
- Phone
- (305) 831-4760
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
206 N Florida Ave
Lakeland, FL 33801-4902
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5742
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 |
|---|---|---|---|
| 10D2114981 | Chen Neighborhood Medical of North Lakeland | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464739200000",
"number": "1407218043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338014902",
"telephone_number": "305-628-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEN NEIGHBORHOOD MEDICAL OF NORTH LAKELAND, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-23",
"last_updated": "2016-06-01",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "305-831-4760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.