Individual provider Active NPI

Agnes Chio, D.O.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1902055601
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255126 Issued in NY
Practice address
275 7TH Ave FL 4
New York, NY 10001-6757
Phone
(212) 924-2510
Fax
(212) 812-3800
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 255126 NY Primary

Addresses

Primary practice location

275 7TH Ave FL 4
New York, NY 10001-6757

Mailing address

2175 Westchester Ave
Bronx, NY 10462-4734
Phone (718) 829-6770

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125002260 NY Practitioner - Family Practice 4688842768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Family Medical Center, Inc. CurrentSince Jan 6, 2023 Accepting new patients

Locations

689 Mamaroneck Ave
Mamaroneck, NY 10543
Phone (914) 253-1100

165 Main St
Ossining, NY 10562
Phone (914) 941-1263

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1902055601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624734",
            "telephone_number": "718-829-6770",
            "fax_number": "718-904-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 7TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016757",
            "telephone_number": "212-924-2510",
            "fax_number": "212-812-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIO",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.