Jimmy Chan MD PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JIMMY CHAN MD PLLC

Practice address

130 E 77TH St FL Hall7
New York, NY 10075-1851

Phone

(914) 471-0667

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Jimmy Chan, MDNPI 1366898645

Title

Member

Phone

(914) 471-0667

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Chan

  • Orthopaedic Surgery Physician
  • Scarsdale, NY
  • NPI 1366898645

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1093513467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 CENTRAL PARK AVE # 168",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL HALL7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "914-471-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY CHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "914-471-0667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Marquez Jimenez, MD
• Yadira Jimenez
• Yelisa Jimenez
• Tia M Jimmerson
• Jimmy C. Sung, MD, PLLC
• Jimmy Wong M.D., P.L.L.C.
• Jin Acupuncture Therapy PLLC
• Jin Care Physical Therapy P.C.
• Jin Qiu MD PC
• Cao Jin

• Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.