Jessica Mon Chin-Tan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

274560 Issued in NY

Practice address

14205 Roosevelt Ave Unit 112
Flushing, NY 11354-1135

Phone

(646) 653-0889

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Yun and Chin-Tan Physicians PLLCGroup PAC ID 0244625622, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Yun & Chin-Tan Physicians PLLC

  • Adult Medicine Physician
  • Flushing, NY
  • NPI 1114680287
  Medicare reassignment Care Compare group NPD Authorized official
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment NPD
• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  Medicare reassignment NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1730491945
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD
• Bethpage Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Garden City, NY
  • NPI 1205074739
  NPD (past)
• Nrad Medical Associates, PC

  • Diagnostic Radiology Physician
  • Garden City, NY
  • NPI 1841228582

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1386922359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE",
            "address_2": "APT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "917-903-9469",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE UNIT 112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541135",
            "telephone_number": "646-653-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13201 14th Ave",
            "address_purpose": "LOCATION",
            "city": "College Point",
            "state": "NY",
            "postal_code": "113562044",
            "country_code": "US",
            "telephone_number": "917-285-2158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIN-TAN",
        "first_name": "JESSICA",
        "middle_name": "MON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "274560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Center of New York
• Child Center of New York
• Children'S Corner Daycare
• Childrens Playworks Inc
• Chim Herb & Company
• Allen Chin, OD
• Cristina Louise Chin
• Ginny Chin
• Ilene Chin
• Shiau Hui Chin, M.D.

• Family Medicine Physician in Flushing, NY
• Providers in Flushing, 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 May 5, 2022; 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.

Verify at the official NPI Registry.