Active NPI
Victor Chen, DPM
- Foot Surgery Podiatrist
- Jackson Heights, NY
National Provider Identifier
1750477253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N004215-1
- Practice address
- 3345 94TH St Ste 1J
Jackson Heights, NY 11372-1931 - Phone
- (718) 335-3495
- Fax
- (718) 429-3225
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N004215-1 | NY | Primary |
Addresses
Primary practice location
3345 94TH St Ste 1J
Jackson Heights, NY 11372-1931
Mailing address
3345 94TH St Ste 1J
Jackson Heights, NY 11372-1931
Phone (718) 335-3495
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00043069 | Other | GA | RAILROAD MEDICARE |
| P45021 | Other | NY | MEDIARE BC/BS |
| 01054897 | Medicaid | NY | |
| 34198 | Other | NY | GHI |
| 6411330001 | Other | NY | DME |
| NYBQ11986 | Other | NY | NGS MEDICARE |
| 4502 | Other | NY | BC/BS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004215-1 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. de Cong Tran DPM. PC. | Current | Accepting new patients | |
| Chengcheng Tu Podiatry PLLC | Current | Accepting new patients |
Locations
3345 94th St
Ste 1J
Jackson Hts, NY 11372
Phone (718) 335-3495
Interoperability endpoints
- vic9070@direct.nyp.org
Organizations & group practices 2
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.
-
- Podiatrist
- Jackson Heights, NY
- NPI 1336964006
-
- Podiatrist
- Jackson Heights, NY
- NPI 1568416907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1750477253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 94TH ST STE 1J",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721931",
"telephone_number": "718-335-3495",
"fax_number": "718-429-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 94TH ST STE 1J",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721931",
"telephone_number": "718-335-3495",
"fax_number": "718-429-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "VICTOR",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N004215-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00043069",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIARE BC/BS",
"identifier": "P45021",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01054897",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "34198",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "6411330001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NGS MEDICARE",
"identifier": "NYBQ11986",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "4502",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.