Individual provider Active NPI

Yuen Kwan Chan, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1497081962
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001357 Issued in NY
Practice address
1672 81St St Apt 3
Brooklyn, NY 11214-2108
Phone
(917) 915-5055
Fax
(718) 233-3084
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001357 NY Primary

Addresses

Primary practice location

1672 81St St Apt 3
Brooklyn, NY 11214-2108

Mailing address

1672 81St St Apt 3
Brooklyn, NY 11214-2108
Phone (917) 915-5055

Other practice location 1

371 8th St
Brooklyn, NY 11215-3604
Phone (347) 941-0186

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001357NYMDMental Health Counselor
F001357NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Yuen Kwan Chan OB/GYN NP, Midwife P.C. Advanced Practice Midwife Current Accepting new patients
Brookdale Family Care Center, Inc. Past Accepting new patients

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1497081962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 81ST ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142108",
            "telephone_number": "917-915-5055",
            "fax_number": "718-233-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 81ST ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142108",
            "telephone_number": "917-915-5055",
            "fax_number": "718-233-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 8th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153604",
            "country_code": "US",
            "telephone_number": "347-941-0186",
            "fax_number": "718-233-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YUEN KWAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001357",
            "primary": true
        }
    ],
    "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 Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.