Individual provider Active NPI

Victor Chen, DPM

  • Foot Surgery Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1750477253
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N004215-1 Issued in NY
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

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00043069OtherGARAILROAD MEDICARE
P45021OtherNYMEDIARE BC/BS
01054897MedicaidNY
34198OtherNYGHI
6411330001OtherNYDME
NYBQ11986OtherNYNGS MEDICARE
4502OtherNYBC/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

LicenseStateTypeSpecialty
N004215-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. de Cong Tran DPM. PC. CurrentSince Nov 6, 2022 Accepting new patients
Chengcheng Tu Podiatry PLLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

3345 94th St
Ste 1J
Jackson Hts, NY 11372
Phone (718) 335-3495

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.