Individual provider Active NPI

Bojun Chen, M.D.

  • Spinal Cord Injury Medicine Physician
  • Flushing, NY
National Provider Identifier
1477505667
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
220919 Issued in NY
Practice address
13237 41St Rd
Room 103
Flushing, NY 11355-4242
Phone
(718) 321-7290
Fax
(718) 321-7289
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X 220919 NY Primary

Addresses

Primary practice location

13237 41St Rd
Room 103
Flushing, NY 11355-4242

Mailing address

17 Central CT
Carle Place, NY 11514-1199
Phone (718) 321-7290

Other identifiers 6

IdentifierTypeStateIssuer
04611GOtherNYGHI-MEDICARE
P3192510OtherNYOXFORD HEALTH PLAN
2159201OtherNYUNITED HEALTHCARE
22091901OtherNYNEIGHBORHOOD
02205769MedicaidNY
9836330OtherNYCIGNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000887 NY Practitioner - Physical Medicine and Rehabilitation 3779531801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13237 B 41St Rd
Suite 103
Flushing, NY 11355-4276
Phone (718) 321-7290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220919NYMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bojun Chen's Medical Rehab, P.C. Spinal Cord Injury Medicine CurrentSince Jun 21, 2018 Accepting new patients
LMC Physician Services, PC Past Accepting new patients
Mount Sinai Diagnostic and Treatment Center Past Accepting new patients
Midas Chiropractic P.C. Past Accepting new patients

Locations

13237B 41st Rd
Ste 103
Flushing, NY 11355
Phone (718) 321-7290

Networks

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

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1477505667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CENTRAL CT",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141199",
            "telephone_number": "718-321-7290",
            "fax_number": "718-358-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13237 41ST RD",
            "address_2": "ROOM 103",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554242",
            "telephone_number": "718-321-7290",
            "fax_number": "718-321-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "BOJUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NY",
            "license": "220919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-MEDICARE",
            "identifier": "04611G",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3192510",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2159201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "22091901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205769",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9836330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.