Bernard P Chan, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00086900 Issued in NJ

Practice address

100 Madison Ave
Morristown, NJ 07960-6136

Phone

(646) 386-6222

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Bernard P Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1093903304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130879",
            "telephone_number": "646-386-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "646-386-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BERNARD",
        "middle_name": "P",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003333",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00086900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNARD",
            "last_name": "CHAN",
            "middle_name": "P",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gina Marie Cesaro, PA-C
• David Craig Chaikin, MD
• Claudine Terese Chairmonte, LCSW
• Baidarbhi Chakraborty, MD
• Harsangeet Kaur Chan-Gill, DO
• Dana Chan, DDS, MPH
• Jessie Pei-Chen Chan, MD
• Kaitlin Chan
• Karen R Chan, MD
• Mei-Yung Chan, MD

• Acupuncturist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.