CKC Medical Office P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

202125 Issued in NY

Legal business name

CKC MEDICAL OFFICE P.C.

Practice address

2 Mott St RM 305
New York, NY 10013-5097

Phone

(212) 791-6968

Fax

(212) 791-6983

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chun-Kit Chan, D.O.NPI 1730284308

Title

President

Phone

(212) 791-6968

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chun-Kit Chan, D.O.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1730284308
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1770637522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135097",
            "telephone_number": "212-791-6968",
            "fax_number": "212-791-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOTT ST RM 305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135097",
            "telephone_number": "212-791-6968",
            "fax_number": "212-791-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKC MEDICAL OFFICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CHUN-KIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-791-6968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "202125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03461878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayhan Civelek, DDS MS
• Tiffany Marlene Civers
• Angelica Civetta, MA
• Kellyann Patricia Civiletti, AGPCNP-BC
• Cje Physical Therapy PLLC
• CKG Nurse Practitioner in Psychiatry PLLC
• CKM Medical PLLC (Well by Messer)
• Ckny Optical, Corp (Cohen's Fashion Opical)
• CL Medicine PLLC
• Jan Claassen, MD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.