Yvonne TSZ Fan Chan, CASE COORDINATOR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3267 47TH St
Astoria, NY 11103-1707

Phone

(347) 891-8151

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. TSZ Fan Chan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1508129057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WEST 32ND STREET, 8/F",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-564-2350",
            "fax_number": "212-564-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 47TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031707",
            "telephone_number": "347-891-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YVONNE TSZ FAN",
        "name_prefix": "Ms.",
        "credential": "CASE COORDINATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TSZ FAN",
            "last_name": "CHAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brendan Chambers
• Cynthia Chambers
• Ada L Chan, OTR/L
• Justin Paolo Cao Chan, PT
• Kimlong Chan
• Chang Uk Sim, DPM P.C.
• Jisu Chang
• Joshua Sua Chang, MD
• Lisa Chang, D.O.
• Steven S Chao, MD

• Case Manager/Care Coordinator in Astoria, NY
• Providers in Astoria, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.