NPIMap

Organization Active NPI

Yun & Chin-Tan Physicians PLLC

Doing business as Elite Medical Associates

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1235759812
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
YUN & CHIN-TAN PHYSICIANS PLLC
Doing business as
Elite Medical Associates
Practice address
14205 Roosevelt Ave Apt 112
Flushing, NY 11354-6005
Phone
(718) 663-2179
Fax
(631) 684-2401
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Dr. Jessica Mon Chin-Tan, DO
Title
Physician
Phone
(646) 653-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14205 Roosevelt Ave Apt 112
Flushing, NY 11354-6005

Mailing address

14205 Roosevelt Ave Apt 112
Flushing, NY 11354-6005
Phone (718) 663-2179

Other identifiers 1

IdentifierTypeStateIssuer
03993033MedicaidNY

Other names 1

  • Elite Medical Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1235759812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE APT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "718-663-2179",
            "fax_number": "631-684-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE APT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "718-663-2179",
            "fax_number": "631-684-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN & CHIN-TAN PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "CHIN-TAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "646-653-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03993033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.