Individual provider Active NPI

Janna Chen, O.D.

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1003923509
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007076-1 Issued in NY
Practice address
23 Oceanic Ave
Staten Island, NY 10312-6511
Phone
(718) 948-8880
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007076-1 NY Primary

Addresses

Primary practice location

23 Oceanic Ave
Staten Island, NY 10312-6511

Mailing address

23 Oceanic Ave
Staten Island, NY 10312-6511
Phone (718) 948-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080501000290 NY Practitioner - Optometry 7618056680 Reassigns benefits to 1 organization
I20090421000164 NJ Practitioner - Optometry 7618056680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staten Island Ophthalmology PCGroup PAC ID 3375434277, 5 clinicians

Practice addresses (Care Compare)

23 Oceanic Ave
Staten Island, NY 10312-6511
Phone (718) 948-8880

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.03

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007076-1NYMDOptometrist

Interoperability endpoints

  • Direct secure messaging: jchen@kung.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1003923509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-948-8880",
            "fax_number": "718-967-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-948-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007076-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.