NPIMap

Individual provider Active NPI

Qiyuan Chen, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1235259284
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205642 Issued in NY
Practice address
8701 Shore Rd
Suite a
Brooklyn, NY 11209-4204
Phone
(718) 238-3440
Fax
(718) 759-1042
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205642 NY Primary

Addresses

Primary practice location

8701 Shore Rd
Suite a
Brooklyn, NY 11209-4204

Mailing address

PO Box 90422
Brooklyn, NY 11209-0422
Phone (718) 238-3440

Other identifiers 1

IdentifierTypeStateIssuer
01719800MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001058 NY Practitioner - Internal Medicine 5395733042 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5434 2ND Ave
Brooklyn, NY 11220-2606
Phone (718) 630-6000

8701 A Shore Rd
Brooklyn, NY 11209-4223
Phone (718) 238-3440

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205642NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Kassouf, MD.,PC PastSince Oct 19, 1994 Accepting new patients
LMC Physician Services, PC Internal Medicine Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Quyuan Chen, MD LLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: qchen130481@nyumc.direct-ci.com

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 8

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1235259284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90422",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112090422",
            "telephone_number": "718-238-3440",
            "fax_number": "718-759-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHORE RD",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094204",
            "telephone_number": "718-238-3440",
            "fax_number": "718-759-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "QIYUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.