Active NPI
Jason Chih Chen, M.D.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1447496310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 250958
- Practice address
- 2431 86TH St
Brooklyn, NY 11214-4448 - Phone
- (917) 912-4901
- Fax
- (718) 513-6504
- NPI assigned
- Dec 26, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 250958 | NY | Primary |
Addresses
Primary practice location
2431 86TH St
Brooklyn, NY 11214-4448
Mailing address
8705 25TH Ave
Brooklyn, NY 11214-5401
Phone (718) 513-6503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03251076 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250958 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jasonchen@1785.mdlanddirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1447496310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8705 25TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145401",
"telephone_number": "718-513-6503",
"fax_number": "718-513-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 86TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112144448",
"telephone_number": "917-912-4901",
"fax_number": "718-513-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JASON",
"middle_name": "CHIH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-26",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "250958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03251076",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.