Organization Active NPI

Gary Chen Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1962798686
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219895 Issued in NY
Legal business name
GARY CHEN MEDICAL PC
Practice address
1481 W 8TH St
Brooklyn, NY 11204-6430
Phone
(718) 236-6186
Fax
(718) 236-6828
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Gary G. Chen, M.D.NPI 1902978141
Title
Medical Director
Phone
(718) 236-6186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 219895 NY Primary

Addresses

Primary practice location

1481 W 8TH St
Brooklyn, NY 11204-6430

Mailing address

1481 W 8TH St
Brooklyn, NY 11204-6430
Phone (718) 236-6186

Other identifiers 1

IdentifierTypeStateIssuer
2191440MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1962798686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046430",
            "telephone_number": "718-236-6186",
            "fax_number": "718-236-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046430",
            "telephone_number": "718-236-6186",
            "fax_number": "718-236-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CHEN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-236-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2191440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.