Yuk-Wah Chan, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

169558 Issued in NY

Legal business name

YUK-WAH CHAN, MD, PC

Practice address

1539 Main St
Suite C, First Floor
Pleasant Valley, NY 12569-7834

Phone

(845) 635-9417

Fax

(845) 635-9419

NPI assigned

Jul 12, 2006

Last updated

Apr 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yuk-Wah Chan, MDNPI 1972528099

Title

President

Phone

(845) 635-9417

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yuk-Wah N Chan, MD

  • Family Medicine Physician
  • Pleasant Valley, NY
  • NPI 1972528099
  Authorized official Same address or phone

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335571200000",
    "number": "1215952478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125690561",
            "telephone_number": "845-635-9417",
            "fax_number": "845-635-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MAIN ST",
            "address_2": "SUITE C, FIRST FLOOR",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697834",
            "telephone_number": "845-635-9417",
            "fax_number": "845-635-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUK-WAH CHAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "YUK-WAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-635-9417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "169558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3249514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1864204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "80531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "M175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3742839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "4C8327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-PPO",
            "identifier": "5996621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Volino, LMHC
• Ninel Wendover, D.D.S.
• Edda Weyer, LCSW-R
• Kymouye Jourdeane Williams
• Ellen R Youssef, PA-C

• Family Medicine Physician in Pleasant Valley, NY
• Providers in Pleasant Valley, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; 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.