Organization Active NPI

Jean Chen Medical LLP

  • Specialist
  • New York, NY
National Provider Identifier
1124287826
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
220690 Issued in NY
Legal business name
JEAN CHEN MEDICAL LLP
Practice address
265 Canal St
416
New York, NY 10013-6010
Phone
(212) 226-6780
Fax
(212) 226-6299
NPI assigned
Jun 6, 2008
Organization subpart
Yes
Parent organization
JEAN CHEN MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Jean Chen, M.D.
Title
Physician
Phone
(212) 226-6780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 220690 NY Primary

Addresses

Primary practice location

265 Canal St
416
New York, NY 10013-6010

Mailing address

PO Box 520569
Flushing, NY 11352-0569
Phone (718) 886-0066

Other identifiers 1

IdentifierTypeStateIssuer
02230399MedicaidNY

Other names 1

  • HONGJUN JEAN CHEN, MD Other name

National Provider Directory

National Provider Directory
Part of
Hong Jun Jean Chen MD

Locations

265 Canal St
Ste 416
New York, NY 10013
Phone (212) 226-6780

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1124287826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520569",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113520569",
            "telephone_number": "718-886-0066",
            "fax_number": "718-886-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CANAL ST",
            "address_2": "416",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100136010",
            "telephone_number": "212-226-6780",
            "fax_number": "212-226-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN CHEN MEDICAL LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEAN CHEN MEDICAL PC",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-226-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "220690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02230399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HONGJUN JEAN CHEN, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.