Individual provider Active NPI

Yingqiao Chen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1053010991
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01449100 Issued in NJ
Practice address
2003 Lincoln Dr W Ste B
Marlton, NJ 08053-1529
Phone
(856) 886-8839
Fax
(856) 210-1874
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01449100 NJ Primary

Addresses

Primary practice location

2003 Lincoln Dr W Ste B
Marlton, NJ 08053-1529

Mailing address

301 Spring Garden Rd
Hammonton, NJ 08037-9699
Phone (609) 561-1700

Other practice location 1

301 Spring Garden Rd
Hammonton, NJ 08037-9699
Phone (609) 561-1700 ext. 7495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230919004185 NJ Practitioner - Nurse Practitioner 0446614705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Spring Garden Rd
Hammonton, NJ 08037-2516
Phone (609) 561-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01449100NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Beginnings CurrentSince May 7, 2023 Accepting new patients
Omega Physicians LLC Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Aug 12, 2023 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Aug 12, 2023 Accepting new patients

Locations

76 W Jimmie Leeds Rd
Ste A
Galloway, NJ 08205
Phone (856) 387-0500

301 Spring Garden Rd
Hammonton, NJ 08037
Phone (609) 561-1700

2003 Lincoln Dr W
Ste B
Marlton, NJ 08053
Phone (856) 886-8839

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1053010991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SPRING GARDEN RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379699",
            "telephone_number": "609-561-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W STE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-886-8839",
            "fax_number": "856-210-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Spring Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080379699",
            "country_code": "US",
            "telephone_number": "609-561-1700 x7495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YINGQIAO",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01449100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.