Manhattan Family Medicine, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

218860 Issued in NY

Legal business name

MANHATTAN FAMILY MEDICINE, P.C.

Practice address

17 Elizabeth St
Suite 509
New York, NY 10013-4803

Phone

(212) 925-5230

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandy M. Fung, M.D.NPI 1982670634

Title

President

Phone

(212) 925-5230

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Sandy M. Fung, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1982670634
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297468800000",
    "number": "1548361629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "SUITE 509",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-925-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "SUITE 509",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-925-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-02-12",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-925-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02231547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Manhattan Facial Surgery Suites, PLLC
• Manhattan Family Practice Medical PC
• Manhattan Gastroenterology Associates PC
• Manhattan Gastroenterology P.C.
• Manhattan Grand Optical Corp
• Manhattan Health - NP in Family Health, Physical Therapy, Chiropractic, Acupuncture PLLC

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.