Organization Active NPI

Chinta Tony Chiu MD. PC.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1811036593
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214850 Issued in NY
Legal business name
CHINTA TONY CHIU MD. PC.
Practice address
13360 41St Ave
2ND Floor
Flushing, NY 11355-5811
Phone
(718) 886-1884
Fax
(718) 886-1943
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Dr. Chinta Tony ChiuNPI 1710991245
Title
MD
Phone
(718) 886-1664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 214850 NY Primary

Addresses

Primary practice location

13360 41St Ave
2ND Floor
Flushing, NY 11355-5811

Mailing address

13360 41St Ave
Second Floor
Flushing, NY 11355-5852
Phone (718) 886-1664

Other identifiers 1

IdentifierTypeStateIssuer
01997502MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000000 NY Part B Supplier - Clinic/Group Practice 4587832100 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

13633 37th Ave
Ste 6D
Flushing, NY 11354

13360 41st Ave
Fl 2
Flushing, NY 11355
Phone (718) 886-1664

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGEGBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1811036593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE",
            "address_2": "SECOND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555852",
            "telephone_number": "718-886-1664",
            "fax_number": "718-886-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13360 41ST AVE",
            "address_2": "2ND FLOOR",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555811",
            "telephone_number": "718-886-1884",
            "fax_number": "718-886-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINTA TONY CHIU MD. PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "CHINTA",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-1664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.