Active NPI
Harry Haitak Chen, MD
- Diagnostic Radiology Physician
- Phoenixville, PA
National Provider Identifier
1588600779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD066014L
- Practice address
- 140 Nutt Road
Phoenixville, PA 19460 - Phone
- (610) 983-1100
- Fax
- (610) 983-1138
- NPI assigned
- Jun 22, 2006
- Last updated
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD066014L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25MA08868500 | NJ |
Addresses
Primary practice location
140 Nutt Road
Phoenixville, PA 19460
Mailing address
140 Nutt Rd
Phoenixville, PA 19460-3906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017380290001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD066014L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of the University of Pennsylvania | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1588600779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NUTT RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NUTT ROAD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "19460",
"telephone_number": "610-983-1100",
"fax_number": "610-983-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "HARRY",
"middle_name": "HAITAK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD066014L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA08868500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017380290001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.