Active NPI
Chun Kin Tang
- Health Service Psychologist
- New York, NY
National Provider Identifier
1700312402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 147090081
- Practice address
- 224 W 35TH St Ste 708
New York, NY 10001-2536 - Phone
- (646) 902-9191
- Fax
- (860) 807-4967
- NPI assigned
- May 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 147090081 | NY | Primary |
Addresses
Primary practice location
224 W 35TH St Ste 708
New York, NY 10001-2536
Mailing address
620 W 42ND St
Apt 19F
New York, NY 10036-2014
Phone (646) 902-9191
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 |
|---|---|---|---|
| 147090081 | NY | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1700312402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 W 42ND ST",
"address_2": "APT 19F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100362014",
"telephone_number": "646-902-9191",
"fax_number": "860-807-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W 35TH ST STE 708",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012536",
"telephone_number": "646-902-9191",
"fax_number": "860-807-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "CHUN KIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "147090081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.