Active NPI
Sangwan Chan-Ngern
- Specialist
- Brooklyn, NY
National Provider Identifier
1649401340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015984
- Practice address
- 30 Washington St
Brooklyn, NY 11201-8201 - Phone
- (718) 643-5300
- NPI assigned
- Jul 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 015984 | NY | Primary |
Addresses
Primary practice location
30 Washington St
Brooklyn, NY 11201-8201
Mailing address
7006 Woodside Ave Apt 3E
Woodside, NY 11377-3915
Phone (917) 821-7882
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015984 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl Fenichel Community Services | 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 and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Brooklyn, NY
- NPI 1003083767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1649401340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7006 WOODSIDE AVE APT 3E",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773915",
"telephone_number": "917-821-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WASHINGTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112018201",
"telephone_number": "718-643-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN-NGERN",
"first_name": "SANGWAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "015984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.