Organization Active NPI

Jang Boo CHI MD PC

  • Internal Medicine Physician
  • Auburn, NY
National Provider Identifier
1902256464
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JANG BOO CHI MD PC
Practice address
143 North St
Auburn, NY 13021-1852
Phone
(315) 252-6890
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Mr. Jang Boo CHI
Title
MD
Phone
(315) 252-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

143 North St
Auburn, NY 13021-1852

Mailing address

143 North St
Auburn, NY 13021-1852
Phone (315) 252-6890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1902256464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211852",
            "telephone_number": "315-252-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211852",
            "telephone_number": "315-252-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANG BOO CHI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "JANG",
        "authorized_official_middle_name": "BOO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-252-6890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.