Individual provider Active NPI

PO Chan, N.P.

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1225641459
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309722 Issued in NY
Practice address
757 60TH St FL 1
Brooklyn, NY 11220-4209
Phone
(718) 567-8899
NPI assigned
Aug 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309722 NY Primary

Addresses

Primary practice location

757 60TH St FL 1
Brooklyn, NY 11220-4209

Mailing address

94 Bowery
New York, NY 10013-4888
Phone (212) 335-0328

Other practice location 1

128 Mott St Ste 308
New York, NY 10013-5575
Phone (212) 966-9889

Other practice location 2

1502 Avenue U Fl 1
Brooklyn, NY 11229-3808
Phone (718) 339-1987

Other practice location 3

2281 86th St
Brooklyn, NY 11214-4107
Phone (718) 280-9938

Other practice location 4

772 55th St # 1F
Brooklyn, NY 11220-3274
Phone (347) 588-6518

Other practice location 5

99 Hillside Ave Ste I
Williston Park, NY 11596-2352
Phone (516) 385-8287

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323002651 NY Practitioner - Nurse Practitioner 0042605339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309722NYMDInternal Medicine Physician
F309722NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Medical Care P C CurrentSince Aug 1, 2025 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Dec 17, 2021 Accepting new patients
Tristate Physician Services PC CurrentSince Jun 22, 2024 Accepting new patients
Excelsior Integrated Medical Group, PLLC Past Accepting new patients

Locations

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

153 W 27th St
Ste 1100
New York, NY 10001
Phone (833) 947-4927

500 Fashion Ave
New York, NY 10018
Phone (212) 642-3451

99 Hillside Ave
Ste I
Williston Park, NY 11596
Phone (516) 385-8287

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1225641459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BOWERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134888",
            "telephone_number": "212-335-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204209",
            "telephone_number": "718-567-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Mott St Ste 308",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135575",
            "country_code": "US",
            "telephone_number": "212-966-9889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 Avenue U Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112293808",
            "country_code": "US",
            "telephone_number": "718-339-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2281 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112144107",
            "country_code": "US",
            "telephone_number": "718-280-9938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "772 55th St # 1F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203274",
            "country_code": "US",
            "telephone_number": "347-588-6518",
            "fax_number": "516-875-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Hillside Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Williston Park",
            "state": "NY",
            "postal_code": "115962352",
            "country_code": "US",
            "telephone_number": "516-385-8287",
            "fax_number": "516-875-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PO",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.