Active NPI
Gilbert Lavarias Chan, PT
- Orthopedic Physical Therapist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 028152
- Practice address
- 145 Dreiser Loop
Bronx, NY 10475-2704 - Phone
- (718) 671-2955
- Fax
- (888) 583-1385
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 028152 | NY | Primary |
Addresses
Primary practice location
145 Dreiser Loop
Bronx, NY 10475-2704
Mailing address
120 Newham Ave
Brentwood, NY 11717-5624
Phone (631) 813-2143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400105691 | Other | NY | NGS MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
115 Main St
Tuckahoe, NY 10707-2948
Phone (914) 961-1010
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028152 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| White Plains Physician Services PC | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020
700 White Plains Rd
Ste 34
Scarsdale, NY 10583
Phone (914) 472-7023
700 White Plains Rd
Ste 10
Scarsdale, NY 10583
Phone (914) 723-4244
115 Main St
Fl 2
Tuckahoe, NY 10707
115 Main St
Ste 202
Tuckahoe, NY 10707
Phone (914) 961-1010
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1871519819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NEWHAM AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175624",
"telephone_number": "631-813-2143",
"fax_number": "888-552-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DREISER LOOP",
"city": "BRONX",
"state": "NY",
"postal_code": "104752704",
"telephone_number": "718-671-2955",
"fax_number": "888-583-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "GILBERT",
"middle_name": "LAVARIAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "028152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NGS MEDICARE",
"identifier": "A400105691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.