Individual provider Active NPI

Ka Hang Chan, AGNP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1477290450
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310930 Issued in NY
Practice address
762 59TH St
Brooklyn, NY 11220-3936
Phone
(718) 393-5333
NPI assigned
May 19, 2022
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310930 NY Primary

Addresses

Primary practice location

762 59TH St
Brooklyn, NY 11220-3936

Mailing address

282 Finley Ave
Staten Island, NY 10306-5658
Phone (646) 508-3072

Other practice location 1

1865 86th St
Brooklyn, NY 11214-3108
Phone (718) 975-8778

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
I20221027002010 NY Practitioner - Nurse Practitioner 9133596554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
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)

1865 86TH St
Brooklyn, NY 11214-3108
Phone (718) 975-5462

1867 86TH St
FL 1
Brooklyn, NY 11214-3108
Phone (718) 872-7777

762 59TH St
Brooklyn, NY 11220-3936
Phone (718) 393-5333

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310930NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

762 59th St
Brooklyn, NY 11220
Phone (718) 393-5333

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

2455 Hylan Blvd
Staten Island, NY 10306
Phone (718) 362-6886

Networks

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1477290450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 FINLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065658",
            "telephone_number": "646-508-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203936",
            "telephone_number": "718-393-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 86th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112143108",
            "country_code": "US",
            "telephone_number": "718-975-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KA HANG",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2023-03-05",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.