Active NPI
Qian Chen, NP
- Nephrology Specialist/Technologist
- Fresh Meadows, NY
National Provider Identifier
1104396514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Specialist/Technologist
- License
- F308825
- Practice address
- 16040 78TH Rd
Fresh Meadows, NY 11366-1945 - Phone
- (347) 475-0911
- Fax
- (718) 380-3441
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Specialist/Technologist | 246ZN0300X | F308825 | NY | Primary |
Addresses
Primary practice location
16040 78TH Rd
Fresh Meadows, NY 11366-1945
Mailing address
16040 78TH Rd
Fresh Meadows, NY 11366-1945
Phone (347) 475-0911
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308825 | NY | MD | Pediatric Critical Care Medicine Physician |
| F308825 | NY | MD | Nephrology Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Nephrology Practice, PC | Current | Accepting new patients |
Locations
16040 78th Rd
Ste 300
Fresh Meadows, NY 11366
Phone (347) 475-0911
16040 78th Rd
#300
Fresh Meadows, NY 11366
Phone (347) 475-0911
Organizations & group practices 1
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.
-
- Nephrology Physician
- Fresh Meadows, NY
- NPI 1093070500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1104396514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 78TH RD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661945",
"telephone_number": "347-475-0911",
"fax_number": "718-380-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 78TH RD",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661945",
"telephone_number": "347-475-0911",
"fax_number": "718-380-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "QIAN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZN0300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Nephrology",
"state": "NY",
"license": "F308825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.