Jerry Chin D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

221368 Issued in NY

Legal business name

JERRY CHIN D.O. P.C.

Practice address

760 Sunrise Highway
West Babylon, NY 11704

Phone

(631) 517-9547

Fax

(631) 517-9547

NPI assigned

Nov 1, 2007

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Chin, D.O.NPI 1588751093

Title

President

Phone

(631) 517-9547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Chin, D.O.

  • Family Medicine Physician
  • West Babylon, NY
  • NPI 1588751093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1346429701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NANCY DR",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-517-9547",
            "fax_number": "631-517-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SUNRISE HIGHWAY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-517-9547",
            "fax_number": "631-517-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY CHIN D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-517-9547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "221368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deesse Jean-Baptiste, RN
• Joliette N Jean-Raymond, APRN
• Debby Jean
• Jeanhealing LLC
• Jennifer Mingione, MDPC
• Jaylin Suyen Jofat, CRNA
• John Buonocore DO PC
• Beth A John, D.C.
• Latashen D Johnson-Lowe, LMSW
• Dilsia E. Johnson

• Family Medicine Physician in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.