Individual provider Active NPI

Hon Cheung Chan, MD

  • Hematology & Oncology Physician
  • Woodbury, NY
National Provider Identifier
1023115847
Registry record updated Apr 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
240845 Issued in NY
Practice address
40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2036
Phone
(516) 921-5533
Fax
(516) 364-4080
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240845 NY
Hematology & Oncology Physician 207RH0003X 240845 NY Primary

Addresses

Primary practice location

40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2036

Mailing address

40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2036
Phone (516) 921-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000553 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1557460219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York at Stony Brook, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Queens PCGroup PAC ID 2062847692, 17 clinicians

Practice addresses (Care Compare)

221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 921-5533

40 Crossways Park Dr
Suite 103
Woodbury, NY 11797-2038
Phone (516) 921-5533

900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 734-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.78 of 100Reported as group
Quality
48.45
Promoting interoperability
71
Improvement activities
40
Cost
77.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Queens, PC Hematology & Oncology CurrentSince Aug 29, 2022 Accepting new patients

Locations

40 Crossways Park Dr
Ste 103
Woodbury, NY 11797
Phone (516) 921-5533

40 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 496-3900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460246400000",
    "number": "1023115847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CROSSWAYS PARK DR",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972036",
            "telephone_number": "516-921-5533",
            "fax_number": "516-364-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CROSSWAYS PARK DR",
            "address_2": "SUITE 103",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972036",
            "telephone_number": "516-921-5533",
            "fax_number": "516-364-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "HON CHEUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240845",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "240845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.