Dr Prem Chattoo DO PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2324841 Issued in NY

Legal business name

DR PREM CHATTOO DO PC

Practice address

122 Fulton St
6TH Floor
New York, NY 10038-2717

Phone

(212) 361-9571

Fax

(212) 257-7087

NPI assigned

Mar 16, 2010

Last updated

May 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Premetesh Chattoo, D.O.NPI 1255395083

Title

President

Phone

(212) 361-9571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Premetesh Chattoo, D.O.

  • Specialist
  • New York, NY
  • NPI 1255395083
  Medicare reassignment Care Compare group Authorized official
• Min Zheng, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Red Bank, NJ
  • NPI 1013905074

  NY

  Medicare reassignment Care Compare group
• Ping Gong, M.D. PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Red Bank, NJ
  • NPI 1356584650

  NY

  Medicare reassignment NPD
• Hongxing Gui, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Philadelphia, PA
  • NPI 1023471745

  NY

  Medicare reassignment
• Xiu Sun, M.D. & PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Livingston, NJ
  • NPI 1649405473

  NY

  Medicare reassignment

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1942524202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 FULTON ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382717",
            "telephone_number": "212-361-9571",
            "fax_number": "212-257-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 FULTON ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382717",
            "telephone_number": "212-361-9571",
            "fax_number": "212-257-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PREM CHATTOO DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "CHATTOO",
        "authorized_official_first_name": "PREMETESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-361-9571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2324841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.