Juancho Salazar Chan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

167496 Issued in NY

Practice address

11 Marshall Rd
Ste 1G
Wappingers Falls, NY 12590

Phone

(845) 298-8044

Fax

(845) 298-8402

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDHCBA/Endpoint/EDHCBA

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1962410951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARSHALL RD",
            "address_2": "STE 1G",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "12590",
            "telephone_number": "845-298-8044",
            "fax_number": "845-298-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARSHALL RD",
            "address_2": "STE 1G",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "12590",
            "telephone_number": "845-298-8044",
            "fax_number": "845-298-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JUANCHO",
        "middle_name": "SALAZAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "167496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Paggi PT, P.C.
• Center for Disabilities Innovations
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• Center for Physical Therapy
• Jaime E Chabuz, APRN, CNM, PMHNP-BC
• Chandrakant Desai Physician PC
• Luis Chapman, MD
• Susan Chattathil
• Salman R Chaudrey, DMD
• Shikha Chauhan, MPT

• Pediatrics Physician in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.