Active NPI
Lawrence Andrew Lim Chan, D.O.
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 319265
- Practice address
- 450 Clarkson Ave # 30
Brooklyn, NY 11203-2012 - Phone
- (718) 613-8653
- Fax
- (718) 270-3440
- NPI assigned
- Jun 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 319265 | NY | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB11467300 | NJ |
Addresses
Primary practice location
450 Clarkson Ave # 30
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave # 30
Brooklyn, NY 11203-2012
Phone (718) 270-2055
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1546
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
- Suny Downstate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB11467300 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Past | Accepting new patients |
Locations
450 Clarkson Ave
#30
Brooklyn, NY 11203
Phone (718) 270-2179
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
760 Parkside Ave
Brooklyn, NY 11226
Phone (917) 751-9093
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- lawrence.chan.1@438.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1386691822
Physical Medicine & Rehabilitation
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1285693275
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1285693275
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1487003448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 30",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-2055",
"fax_number": "718-270-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # 30",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-613-8653",
"fax_number": "718-270-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LAWRENCE ANDREW",
"middle_name": "LIM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "319265",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MB11467300",
"primary": false
}
],
"identifiers": [],
"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 Jan 31, 2024; 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.