Individual provider Active NPI

Joanna Chan, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1023582491
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F357072-01 Issued in NY
Practice address
268 Canal St
New York, NY 10013-3599
Phone
(212) 379-6996
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 762018 NY
Family Nurse Practitioner 363LF0000X F357072-01 NY Primary

Addresses

Primary practice location

268 Canal St
New York, NY 10013-3599

Mailing address

82 E Williston Ave
East Williston, NY 11596-2016

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260323003730 NY Practitioner - Nurse Practitioner 4183108681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

366 5TH Ave
FL 4
New York, NY 10001-2211

366 5TH Ave FL
Suite 4
New York, NY 10001-2241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
762018NYMDRegistered Nurse
F357072-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Jan 10, 2026 Accepting new patients
I Care Medical PLLC Past Accepting new patients

Locations

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 362-6966

1575 Hillside Ave
Ste 302
New Hyde Park, NY 11040
Phone (516) 775-8000

168 Centre St
Fl 2
New York, NY 10013
Phone (212) 966-8286

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": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1023582491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E WILLISTON AVE",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133599",
            "telephone_number": "212-379-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOANNA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "762018",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F357072-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.