Active NPI
Yong B. CHI, M.D., P.L.L.C.
- Internal Medicine Physician
- Newfane, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- YONG B. CHI, M.D., P.L.L.C.
- Practice address
- 6040 Edward Ave
Newfane, NY 14108-1009 - Phone
- (716) 778-9100
- Fax
- (716) 778-9102
- NPI assigned
- Jul 23, 2008
- Last updated
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yong Baek CHI, MD
- Title
- Owner
- Phone
- (716) 778-9100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6040 Edward Ave
Newfane, NY 14108-1009
Mailing address
6040 Edward Ave
Newfane, NY 14108-1009
Phone (716) 778-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00930561 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
221 Chestnut St
Lockport, NY 14094
Phone (716) 433-0012
6040 Edward Ave
Newfane, NY 14108
Phone (716) 434-6601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Newfane, NY
- NPI 1629096003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1659536134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 EDWARD AVE",
"city": "NEWFANE",
"state": "NY",
"postal_code": "141081009",
"telephone_number": "716-778-9100",
"fax_number": "716-778-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 EDWARD AVE",
"city": "NEWFANE",
"state": "NY",
"postal_code": "141081009",
"telephone_number": "716-778-9100",
"fax_number": "716-778-9102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YONG B. CHI, M.D., P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "CHI",
"authorized_official_first_name": "YONG",
"authorized_official_middle_name": "BAEK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-778-9100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00930561",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newfane, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.