Nancy Lee Chan Amigo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

144564 Issued in NY

Practice address

8375 Woodhaven Blvd
Lobby#14
Woodhaven, NY 11421-1535

Phone

(718) 849-5012

Fax

(718) 805-2422

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548356934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 WOODHAVEN BLVD",
            "address_2": "LOBBY#14",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 WOODHAVEN BLVD",
            "address_2": "LOBBY#14",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211535",
            "telephone_number": "718-849-5012",
            "fax_number": "718-805-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN AMIGO",
        "first_name": "NANCY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "144564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert John Castelli, DPM
• Ana Beverly Castillo
• Jessica Castro, DNP
• Joselito Cayabyab
• Joel Cepeda
• Sau Sheung Chan, SERVICE COORDINATOR
• Michalina Chec, SPECIAL ED
• Angela Chen, LA.C
• Tianhe Chen
• Ting Chen

• Pediatrics Physician in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.