Byoung Man Chae

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

029719 Issued in NY

Practice address

14708 3Rd Ave
Whitestone, NY 11357-1103

Phone

(347) 822-1625

NPI assigned

Dec 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cornerstone Occupational Therapy PC

  • Occupational Therapist
  • Fresh Meadows, NY
  • NPI 1770373276
  Medicare reassignment NPD Authorized official
• Inje Physical Therapy P.C.

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1598320285
  NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1669288858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 3RD AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571103",
            "telephone_number": "347-822-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 3RD AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571103",
            "telephone_number": "347-822-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "BYOUNG MAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jasmine Castro, CF-SLP
• John A Catricala, PT
• Matthew Cauliffe, PT
• Yvettte Cavalli, OD
• Frank Anthony Cesare, D.P.T
• Zandra Chambers
• Frances Chamorro
• Maria Champion
• Tempii Champion
• Chau Sim Chan, DMD

• Occupational Therapist in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.