Individual provider Active NPI

Elizabeth Jia-Jing Chen, MD

  • Obstetrics & Gynecology Physician
  • Mineola, NY
National Provider Identifier
1235717034
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
334605-01 Issued in NY
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

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905003573 NY Practitioner - Obstetrics/Gynecology 3870031065 Reassigns benefits to 1 organization

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
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians

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

OrganizationSpecialtyStatusNew patients
Square Care Medical Group, LLP Obstetrics & Gynecology CurrentSince Sep 1, 2025 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

  • Direct secure messaging: echen752255@nyumc.direct-ci.com
  • Direct secure messaging: elizabeth.chen.1@15987.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.