Provider Demographics
NPI:1619172640
Name:CHINATOWN MEDICAL PHYSICIAN, PC
Entity Type:Organization
Organization Name:CHINATOWN MEDICAL PHYSICIAN, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-219-2883
Mailing Address - Street 1:86 BOWERY ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4615
Mailing Address - Country:US
Mailing Address - Phone:212-219-2883
Mailing Address - Fax:212-219-2705
Practice Address - Street 1:86 BOWERY ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4615
Practice Address - Country:US
Practice Address - Phone:212-219-2883
Practice Address - Fax:212-219-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211160261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01897281Medicaid
NY59N851OtherEMPIRE BLUE CROSS BLUE SH
NY239861OtherWELLCARE
NYOM1647OtherHEALTH NET
NY100195052401OtherUNITED HEALTHCARE OF NY
NY1224444OtherFIRST HEALTH
NY2596051OtherGHI
NY211160A31OtherHEALTH FIRST
NY2547163OtherAETNA HMO
NY211160OtherHIP
NY343370201OtherHEALTH PLUS
NY5179754OtherAETNA PPO
NYP1293269OtherOXFORD
NY1950524OtherUNITED HEALTHCARE COMMERC
NY30465900006OtherCIGNA HEALTHCARE
NY59N851OtherEMPIRE BLUE CROSS BLUE SH
NY01897281Medicaid
NY5179754OtherAETNA PPO
NY=========OtherMULTIPLAN
NY=========OtherPHCS