Fung Chan MD PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

FUNG CHAN MD PLLC

Practice address

128 Mott St Ste 608
New York, NY 10013-5589

Phone

(212) 343-8399

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Fung Michael Chan

Title

MD

Phone

(212) 343-8399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1831740075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST STE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135589",
            "telephone_number": "212-343-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNG CHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "FUNG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-343-8399"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjienne Deive Fundal
• Fundamental Acupuncture PLLC
• Casey Norei Funderburk
• Christopher D. Funderburk, M.D., M.S.
• Jan Salvador Fune, MD
• Stephanie Fung-Kow, AGACNP-BC
• Sonia Fung-Nicholson, RN
• Jennifer N Fung-Schwartz, D.P.M.
• Amie Fung, MSN
• Bess Fung, MD

• Otolaryngology Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.