Yun & Chin-Tan Physicians PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

YUN & CHIN-TAN PHYSICIANS PLLC

Practice address

14205 Roosevelt Ave Apt 112
Flushing, NY 11354-6005

Phone

(718) 663-2179

Fax

(631) 684-2401

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Chin-Tan, DONPI 1386922359

Title

Physician

Phone

(718) 663-2179

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 4

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

• Jessica Mon Chin-Tan, D.O.

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1386922359
  Medicare reassignment Care Compare group NPD Authorized official
• David Kin Yun, DO

  • Family Medicine Physician
  • Flushing, NY
  • NPI 1154679090
  Medicare reassignment Care Compare group NPD
• Ahmed Mahir, PA

  • Physician Assistant
  • Bronx, NY
  • NPI 1275032542
  Medicare reassignment
• Fernando Ivan Umanzor Guzman, RDN

  • Registered Dietitian
  • Bronx, NY
  • NPI 1629722046
  Medicare reassignment

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1114680287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE APT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "718-663-2179",
            "fax_number": "631-684-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE APT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "718-663-2179",
            "fax_number": "631-684-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN & CHIN-TAN PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "CHIN-TAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-663-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154679090",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386922359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Yuen, PA
• Hak Kin Yuen, MD
• Yoko Yuge, R.N.
• Yukun Acupuncture PC
• Yulin Medicine PLLC
• Yun & Chin-Tan Physicians PLLC (Elite Medical Associates)
• Yun Hee Chung MD PC
• Yun Jae Cho Medical PC
• David Kin Yun, DO
• Miriam Yun, P.A.

• Adult Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.