Individual provider Active NPI

Dawei Chen

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1467233908
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
311582 Issued in NY
Practice address
730 58TH St # 1a
Brooklyn, NY 11220-3917
Phone
(718) 439-7288
NPI assigned
Oct 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 846503 NY
Registered Nurse 163W00000X 183637 CT
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X 311582 NY Primary

Addresses

Primary practice location

730 58TH St # 1a
Brooklyn, NY 11220-3917

Mailing address

730 58TH St # 1a
Brooklyn, NY 11220-3917

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123002314 NY Practitioner - Nurse Practitioner 9537511738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

730 58TH St
1A
Brooklyn, NY 11220-3917
Phone (718) 439-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
183637CTMDRegistered Nurse
846503NYMDRegistered Nurse
311582NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC Multi-Specialty CurrentSince Jan 8, 2024 Accepting new patients
Chixin Fang Medical P.C. Multi-Specialty PastSince Mar 16, 2009 Accepting new patients

Locations

730 58th St
#1A
Brooklyn, NY 11220
Phone (718) 439-7288

730 58th St
Ste 1A
Brooklyn, NY 11220
Phone (718) 439-7288

5715 7th Ave
Brooklyn, NY 11220
Phone (212) 434-3420

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

366 5th Ave
Fl 4
New York, NY 10001
Phone (718) 290-9807

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

Networks

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

Organizations & group practices 2

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1467233908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 58TH ST # 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 58TH ST # 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-439-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAWEI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-06-06",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "846503",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "183637",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "311582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.