K. S. CLIFFORD CLIFFORD CHAO (NPI# 1215038344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215038344 |
| Entity Type | Individual |
| Full Name | K. S. CLIFFORD CLIFFORD CHAO |
| Credential | M.D. |
| Practice Address |
622 West 168th Street New York NY 10032-3720 |
| Mailing Address |
622 West 168th Street Chony North Bsmt., Rm 11 New York NY 10032-3720 |
| Practice Telephone | 2123059987 |
| Practice Fax Number | 2123050015 |
| Mailing Telephone | 2123059987 |
| Mailing Fax Number | 2123050015 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
251104-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
L6319 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAIL ROAD MEDICARE | 920007185 | 01 |
| NY | 03062131 | 05 | |
| TX | 1529460301 | 05 | |
| TX | BCBSTX | 8G5013 | 01 |
| Street Address |
622 WEST 168TH STREET |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055854 | Nina Brogle | Radiology | 622 West 168th Street, New York, NY 10032 | 2006-05-27 |
| 1730780677 | Rompin Shih | Counselor | 622 West 168th Street, Chony North B11, New York, NY 10032-1003 | 2020-11-06 |
| 1366065518 | Kate Qianyue Zhang | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, 8th Floor Dental Clinic, New York, NY 10032 | 2020-05-22 |
| 1629697248 | Nicholas Gadsden | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, Dept of Anesthesiology, New York, NY 10032 | 2020-04-14 |
| 1144857954 | Gerard Francis Marciano | Student in an Organized Health Care Education/Training Program | 622 West 168th Street, Ph11 - 1102, New York, NY 10032 | 2020-03-24 |
| 1902366115 | Akinrinola Famuyide | Radiology | 622 West 168th Street, New York, NY 10032 | 2019-03-22 |
| 1689133217 | Nicholas Lange | Pharmacist | 622 West 168th Street, Vc-basement, New York, NY 10032 | 2019-03-13 |
| 1376010322 | Margaret O'connor Cuomo | Nurse Practitioner | 622 West 168th Street, Ph12, Room 1270, New York, NY 10032 | 2018-10-29 |
| 1114432671 | Columbia University Health Care, Inc. | Clinic/Center | 622 West 168th Street, Vanderbilt Clinic 9th Floor, New York, NY 10032-3720 | 2017-12-06 |
| 1023520095 | Horia Vulpe | Radiology | 622 West 168th Street, Chony North B Level, Room 11, New York, NY 10032-3720 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1043574494 | Sumeeta Varma | Radiology | 1250 Broadway Fl 2, New York, NY 10001 | 2012-06-30 |
| 1902164288 | Nisha Ohri | Radiology | 217 E 96th St, Apt 34f, New York, NY 10128-3950 | 2012-04-24 |
| 1770856254 | Icahn School of Medicine At Mount Sinai | Radiology | 1184 5th Ave # 1236, New York, NY 10029-6503 | 2012-02-15 |
| 1417237058 | Anna Lee | Radiology | 225 East 126th St, New York, NY 10087-2012 | 2011-08-26 |
| 1225334865 | Charles B Simone II | Radiology | 225 E 126th St, New York, NY 10035-1406 | 2011-01-30 |
| 1952619181 | Tribeca Radiation Pllc | Radiology | 408-410 Broadway, New York, NY 10013-4111 | 2010-09-22 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.