NPIMap

Organization Active NPI

Dr. Igor Chan Min M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1881865111
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219338 Issued in NY
Legal business name
DR. IGOR CHAN MIN M.D.
Practice address
130 Kensington St
Brooklyn, NY 11235-3025
Phone
(718) 687-8669
Fax
(718) 332-1993
NPI assigned
Mar 14, 2008
Organization subpart
Yes
Parent organization
DR. IGOR CHAN MIN M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Igor Chan MinNPI 1780744961
Title
President
Phone
(718) 687-8669

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 219338 NY Primary

Addresses

Primary practice location

130 Kensington St
Brooklyn, NY 11235-3025

Mailing address

130 Kensington St
Brooklyn, NY 11235-3025
Phone (718) 687-8669

National Provider Directory

National Provider Directory
Part of
I Chanmin MD Medical PC

Practitioners & affiliated clinicians

Practitioners 4

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1881865111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KENSINGTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353025",
            "telephone_number": "718-687-8669",
            "fax_number": "718-332-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KENSINGTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353025",
            "telephone_number": "718-687-8669",
            "fax_number": "718-332-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IGOR CHAN MIN M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. IGOR CHAN MIN M.D.",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "CHAN MIN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-687-8669"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.