Active NPI
Pingkwan Albert Chan, MD
- Specialist
- New York, NY
National Provider Identifier
1841564598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 163459
- Practice address
- 180 Riverside Dr
Apt 7D
New York, NY 10024-1021 - Phone
- (212) 315-1939
- NPI assigned
- Feb 28, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 163459 | NY | Primary |
Addresses
Primary practice location
180 Riverside Dr
Apt 7D
New York, NY 10024-1021
Mailing address
28 Baylis LN
Apt 7D
Bedford, NY 10506-1504
Phone (914) 238-4213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160209001499 | NY | Order and Referring Only - Internal Medicine | 0446554646 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1841564598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BAYLIS LN",
"address_2": "APT 7D",
"city": "BEDFORD",
"state": "NY",
"postal_code": "105061504",
"telephone_number": "914-238-4213",
"fax_number": "888-272-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 RIVERSIDE DR",
"address_2": "APT 7D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241021",
"telephone_number": "212-315-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "PINGKWAN",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "163459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.