Active NPI
Ying Chan, MD
- Maternal & Fetal Medicine Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2068741
- Practice address
- 13336 41St Rd Ste 2a
Flushing, NY 11355-3666 - Phone
- (718) 268-0008
- Fax
- (347) 851-1209
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MA05936800 | NJ | |
| Health Service Clinic/Center | 261QH0100X | 2068741 | NY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2068741 | NY | Primary |
Addresses
Primary practice location
13336 41St Rd Ste 2a
Flushing, NY 11355-3666
Mailing address
13336 41St Rd
Suite 2a
Flushing, NY 11355-3666
Phone (718) 268-0008
Other practice location 1
837 59th St Fl 2
Brooklyn, NY 11220-5577
Phone (718) 268-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8422206 | Medicaid | NJ | |
| 08199783 | Medicaid | NY |
Other names 1
- Ying Chan-Mark
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Stony Brook, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13336 41St Rd
Flushing, NY 11355-3666
Phone (718) 268-0010
14453 Jewel Ave
Flushing, NY 11367-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2068741 | NY | MD | Health Service Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Comprehensive Perinatal Medicine PLLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Nick Yoon Physical Therapy P.C. | Past | Accepting new patients | |
| Century Dermatology PC | Past | Accepting new patients | |
| Practice Associates,Inc | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- yingchan@nslijmedgr.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Maternal & Fetal Medicine Physician
- Flushing, NY
- NPI 1811531270
-
- Dermatology Physician
- Brooklyn, NY
- NPI 1285231506
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1710326772
-
- Physician Assistant
- Morristown, NJ
- NPI 1699733907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1174557979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13336 41ST RD",
"address_2": "SUITE 2A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553666",
"telephone_number": "718-268-0008",
"fax_number": "718-744-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13336 41ST RD STE 2A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553666",
"telephone_number": "718-268-0008",
"fax_number": "347-851-1209"
}
],
"practiceLocations": [
{
"address_1": "837 59th St Fl 2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112205577",
"country_code": "US",
"telephone_number": "718-268-0010",
"fax_number": "347-851-1209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "YING",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MA05936800",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "2068741",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "2068741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8422206",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08199783",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YING",
"last_name": "CHAN-MARK",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.