Amy Yuntzu-Yen Chen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

251780 Issued in MA

Practice address

1 Willowbrook Rd Ste 2
Cromwell, CT 06416-1745

Phone

(860) 322-2222

Fax

(860) 322-6838

NPI assigned

Jun 2, 2008

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

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 2

Specialty

Dermatology

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Connecticut Dermatology, PLLC

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1407313984
  Medicare reassignment Care Compare group NPD
• South Boston Community Health Center

  • Community Health Clinic/Center
  • South Boston, MA
  • NPI 1669447413
  Medicare reassignment NPD
• Boston University Dermatology, Inc.

  • Dermatology Physician
  • Boston, MA
  • NPI 1376532853
  NPD (past)
• Evans Medical Foundation, Inc.

  dba Boston University Internal Medicine Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1164681573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOWBROOK RD STE 2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161745",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Knotter Drive",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Buckland Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "AMY",
        "middle_name": "YUNTZU-YEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "251780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093501A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rozalia Charpentier, L.O.
• Emily Charvis, LCSW
• Rebecca Chase-Pellicone
• Mark R Chasse, OD
• Amanda Chaves
• Rui Cheng, M.D.
• Lilly Karolina Chesler
• Jessica Paola Chivata, M.S. CCC-SLP
• Ryleigh Christianson
• Diana Christie

• Dermatology Physician in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.