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LOWER EAST SIDE FAMILY MEDICINE PLLC
NPI 1356692859
Family Medicine in New York, NY

Active since September 24, 2012
260 E BROADWAY STE 2, NEW YORK, NY 10002(212) 777-4329(212) 777-4301 Get Directions Write a Review

NPPES record last updated: January 13, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lower East Side Family Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOWER EAST SIDE FAMILY MEDICINE PLLC (NPI 1356692859) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since September 2012. The organization lists Teresa Chan, Sole Member/owner, as its authorized official.

NPPES Registry Identity

NPI1356692859
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLOWER EAST SIDE FAMILY MEDICINE PLLC
Location Address260 E BROADWAY STE 2New York, NY 10002-5609
Mailing Address260 E Broadway Ste 2New York, NY 10002-5609 · (212) 777-4329 · Fax (212) 777-4301
Phone(212) 777-4329
Fax(212) 777-4301
Organization SubpartNo
Authorized OfficialTeresa ChanSole Member/owner · (212) 777-4329
Enumeration DateSeptember 24, 2012
Last NPPES UpdateJanuary 13, 2013
✔ NPI 1356692859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 213958
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
260 E BROADWAY STE 2, New York, NY 10002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lower East Side Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20121103000061Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lower East Side Family Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Teresa Chan, MD
Family Practice
NPI 1922190388
260 E BROADWAY STE 2
New York, NY 10002
(212) 777-4329
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lower East Side Family Medicine PLLC's NPI number?

The NPI number for Lower East Side Family Medicine PLLC is 1356692859. It was assigned to this organization in the NPPES registry on September 24, 2012.

Where is Lower East Side Family Medicine PLLC located?

Lower East Side Family Medicine PLLC is located at 260 E Broadway Ste 2, New York, NY 10002. The listed phone number is (212) 777-4329.

What is Lower East Side Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lower East Side Family Medicine PLLC enrolled in Medicare?

Yes. Lower East Side Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

When is Lower East Side Family Medicine PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lower East Side Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Lower East Side Family Medicine PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lower East Side Family Medicine PLLC was last updated on January 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.