Individual provider Active NPI

Joshua Isao Chan, MD

  • Pediatric Hematology & Oncology Physician
  • Mineola, NY
National Provider Identifier
1124556808
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
305721 Issued in NY
Practice address
120 Mineola Blvd Ste 460
Mineola, NY 11501-4067
Phone
(516) 663-9400
NPI assigned
May 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 305721 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

120 Mineola Blvd Ste 460
Mineola, NY 11501-4067

Mailing address

120 Mineola Blvd Ste 460
Mineola, NY 11501-4067
Phone (516) 663-9400

Other practice location 1

160 E 32nd St Fl 3
New York, NY 10016-6004
Phone (212) 263-8400

Other practice location 2

259 1st St
Mineola, NY 11501-3957
Phone (516) 663-8443

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921003535 NY Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 4587018726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 1, 2023 Accepting new patients
New York University CurrentSince Sep 1, 2023 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

120 Mineola Blvd
Ste 460
Mineola, NY 11501
Phone (516) 663-9400

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jchan243086@nyumc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1124556808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD STE 460",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014067",
            "telephone_number": "516-663-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD STE 460",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014067",
            "telephone_number": "516-663-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E 32nd St Fl 3",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166004",
            "country_code": "US",
            "telephone_number": "212-263-8400",
            "fax_number": "212-263-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-663-8443",
            "fax_number": "516-663-8955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOSHUA",
        "middle_name": "ISAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "305721",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.