Yanick Chaumin, M.D. – Specialist in Elmhurst, NY

Key facts

NPI: 1720001787
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
License: 156363 (NY)
Practice address: 9412 59TH Ave
Elmhurst, NY 11373-5151
Phone: (718) 592-0707
Fax: (718) 592-0789
NPI assigned: Jul 25, 2006
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X	156363	NY	Yes

Addresses

Primary practice location

9412 59TH Ave
Elmhurst, NY 11373-5151

Mailing address

9412 59TH Ave
Elmhurst, NY 11373-5151
Phone (718) 592-0707

Other identifiers

Identifier	Type	State	Issuer
12797P	Other	NY	HIP PRIS
P691456	Other	NY	OXFORD PROVIDER ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720001787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 59TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-592-0707",
            "fax_number": "718-592-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 59TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-592-0707",
            "fax_number": "718-592-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUMIN",
        "first_name": "YANICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "156363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PRIS",
            "identifier": "12797P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P691456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

All providers in Elmhurst, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.