Active NPI
S Richard Chazin, M.D., P.C.
- Ophthalmology Physician
- New Hartford, NY
National Provider Identifier
1891728390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 102952
- Practice address
- 24 Kellogg Rd
New Hartford, NY 13413-2800 - Phone
- (315) 732-8616
- Fax
- (315) 793-0712
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 102952 | NY | Primary |
Addresses
Primary practice location
24 Kellogg Rd
New Hartford, NY 13413-2800
Mailing address
24 Kellogg Rd
New Hartford, NY 13413-2800
Phone (315) 732-8616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00178336 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102952 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1891728390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 KELLOGG RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132800",
"telephone_number": "315-732-8616",
"fax_number": "315-793-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 KELLOGG RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132800",
"telephone_number": "315-732-8616",
"fax_number": "315-793-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAZIN",
"first_name": "S",
"middle_name": "RICHARD",
"credential": "M.D., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "102952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00178336",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
- Cynthia Chapple, LCSW R
- Charles T Sitrin Health Care Center, Inc
- Charles T. Sitrin Health Care Center, Inc
- Charles T. Sitrin Health Care Center, Inc.
- Heraa Chaudhry, MD
- Cristin Checchia, MS CCC-SLP
- Elizabeth Marie Checola, FNP
- Chelsea Drugs Inc (Randalls Pharmacy)
- Chelsea Drugs Inc (randall's pharmacy)
- Richard Cheltenham, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.