Alice Man Chan, CCC-Audiology, PC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

ALICE MAN CHAN, CCC-AUDIOLOGY, PC

Practice address

13620 38TH Ave
Suite 7H
Flushing, NY 11354-4277

Phone

(718) 353-5626

Fax

(718) 353-5622

NPI assigned

Dec 20, 2016

Last updated

Dec 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alice Man Chan, AU.D.NPI 1720151145

Title

President

Phone

(718) 353-5626

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Alice Man Chan CCC Audiology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alice Man Chan, CCC-Audiology, PC

  • Audiologist-Hearing Aid Fitter
  • New York, NY
  • NPI 1154866671
  NPD tax ID

Locations

Practitioners 2

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.

• Alice Man Chan, AU.D.

  • Audiologist-Hearing Aid Fitter
  • New York, NY
  • NPI 1720151145
  Medicare reassignment NPD Authorized official
• Lambert Lee, AUD

  • Audiologist
  • New York, NY
  • NPI 1114530961
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1851836290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SHORE RD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631118",
            "telephone_number": "718-353-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE",
            "address_2": "SUITE 7H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544277",
            "telephone_number": "718-353-5626",
            "fax_number": "718-353-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE MAN CHAN, CCC-AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "MAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-353-5626",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01690055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basem Ali, MD
• Fozia Ali, PHARM D
• Steven Ali, OD
• Basil Puthiampurath Alias, MD
• Alice K. Lee, M.D.
• Alice Ngai Tsang
• Lindsey M. Alico, M.S.
• Teymur Aliyev, DO
• Yelena Alkova, SLP
• All About PT Physical Therapy PC

• Audiologist-Hearing Aid Fitter in Flushing, NY
• Providers in Flushing, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.