| NPI | 1255455689 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-03-19 |
| Last Updated | 2014-01-16 |
| Mailing Address | 185 Old Country Rd, Ste 2 Riverhead, NY 11901-2121 United States Phone: (631) 298-4479 | Fax: (631) 591-3047 📍 View Map |
| Primary Practice Address | 496 County Road 111, Building B Manorville, NY 11949-3383 United States Phone: (631) 405-3200 | Fax: (631) 395-6010 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02900750 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | NY | 239293 |
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About NPI 1255455689
Fang Chen MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1255455689. The primary specialty listed is Internal Medicine. The provider is located in Manorville, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1255455689?
NPI 1255455689 belongs to Fang Chen MD, a Internal Medicine in Manorville, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255455689 active?
The current status of NPI 1255455689 in the NPPES registry is Active. The record was last updated on 2014-01-16.
What specialty is NPI 1255455689?
NPI 1255455689 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1255455689?
You can verify NPI 1255455689 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1255455689?
The primary practice address on file for NPI 1255455689 is 496 County Road 111, Manorville, NY 11949-3383. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255455689 issued?
NPI 1255455689 was first issued (enumerated) on 2007-03-19. The NPPES record was last updated on 2014-01-16.
Practice Location Map
Fang Chen is located at 496 County Road 111, Manorville, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fang Chen. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255455689. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 239293 | NY |