Active NPI
Virginia Keck, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1644161
- Practice address
- 380 2ND Ave
New York, NY 10010-5615 - Phone
- (212) 975-1065
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 029346 | CT | |
| Anesthesiology Physician | 207L00000X | 1644161 | NY | Primary |
Addresses
Primary practice location
380 2ND Ave
New York, NY 10010-5615
Mailing address
68 S. Service Rd.
Ste 350
Melville, NY 11747-2358
Phone (516) 945-3351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03973306 | Medicaid | NY |
Other names 1
- Virginia Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
Hospital & facility affiliations
- North Shore University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029346 | CT | MD | Anesthesiology Physician |
| 1644161 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Long Island Center for Digestive Health LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
1103 Stewart Ave
Ste 301
Garden City, NY 11530
Phone (516) 243-7775
1245 Colonial Rd
Hewlett, NY 11557
Phone (631) 295-2100
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
380 2nd Ave
New York, NY 10010
Phone (212) 253-6600
300 Community Dr
Plandome, NY 11030
106 Charles Lindbergh Blvd
Uniondale, NY 11553
Phone (516) 248-3737
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Ambulatory Surgical Clinic/Center
- Uniondale, NY
- NPI 1184666364
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1619997095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 S. SERVICE RD.",
"address_2": "STE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472358",
"telephone_number": "516-945-3351",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105615",
"telephone_number": "212-975-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECK",
"first_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "029346",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "1644161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03973306",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "CHANG",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.