Active NPI
Elizabeth Jia-Jing Chen, MD
- Obstetrics & Gynecology Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 334605-01
- Practice address
- 173 Mineola Blvd Ste 200
Mineola, NY 11501-2530 - Phone
- (516) 741-4321
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 334605-01 | NY | Primary |
Addresses
Primary practice location
173 Mineola Blvd Ste 200
Mineola, NY 11501-2530
Mailing address
PO Box 81063
Cleveland, OH 44181-0063
Other practice location 1
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-4142
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
- Drexel University College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
173 Mineola Blvd
Suite 200
Mineola, NY 11501-2530
Phone (516) 741-4321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Care Medical Group, LLP | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
173 Mineola Blvd
Ste 200
Mineola, NY 11501
Phone (516) 741-4321
191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144
175 Jericho Tpke
Ste 303
Syosset, NY 11791
Phone (516) 364-8780
175 Jericho Tpke
Syosset, NY 11791
Phone (516) 364-8780
Interoperability endpoints
- echen752255@nyumc.direct-ci.com
- elizabeth.chen.1@15987.direct.athenahealth.com
- https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Woodbury, NY
- NPI 1457392763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1235717034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81063",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441810063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 MINEOLA BLVD STE 200",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012530",
"telephone_number": "516-741-4321"
}
],
"practiceLocations": [
{
"address_1": "2001 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013773",
"country_code": "US",
"telephone_number": "443-481-4142",
"fax_number": "443-924-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "ELIZABETH",
"middle_name": "JIA-JING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "334605-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.