Individual provider Active NPI

Xiaochang J Chen, MD

  • Anesthesiology Physician
  • Elmhurst, NY
National Provider Identifier
1619973625
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
227986 Issued in NY
Practice address
90-02 Queens Blvd
Elmhurst, NY 11373
Phone
(718) 558-1000
NPI assigned
Jun 23, 2005
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 227986 NY Primary

Addresses

Primary practice location

90-02 Queens Blvd
Elmhurst, NY 11373

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other identifiers 1

IdentifierTypeStateIssuer
02386574MedicaidNY

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
I20040712000524 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8527046952 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
JC Edwards School of Medicine, Marshall University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajiv Bansal MD PCGroup PAC ID 3678506706, 3 clinicians
Gold Coast Medical PCGroup PAC ID 8820247703, 4 clinicians
Ans Medical PLLCGroup PAC ID 6800912940, 2 clinicians
Mark J Coronel MD PCGroup PAC ID 5890958979, 7 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (516) 437-6900

237 Jericho Tpke
Syosset, NY 11791-4513
Phone (516) 584-6400

3808 Union St
Suite 3N
Flushing, NY 11354-5670
Phone (516) 238-6855

383 N Sunrise Service Rd
Suite 2
Manorville, NY 11949-9603
Phone (631) 591-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spartan Anesthesia PLLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
Park Avenue Gastroenterology & Digestive Health, PLLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
South Island Gastroenterology Associates PC CurrentSince Oct 19, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Mark J Coronel MD PC CurrentSince Jul 30, 2019 Accepting new patients
Ans Medical PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Gold Coast Medical P C Anesthesiology CurrentSince Aug 12, 2023 Accepting new patients
Li Gastroenterology Endoscopy PC CurrentSince Jun 18, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jan 1, 2013 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Apr 22, 2023 Accepting new patients
Twin Forks Medical PC Anesthesiology CurrentSince Jun 1, 2012 Accepting new patients
NA Ma Ophthalmology PLLC PastSince Aug 1, 2011 Accepting new patients
Boulevard Anesthesia Associates, PC Anesthesiology Past Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
Gastro Anesthesia Services, PC Anesthesiology Past Accepting new patients
P.D. Gastroenterology, P.C. PastSince Jul 1, 2021 Accepting new patients

Locations

35 Spencer St
Ste 200
Brooklyn, NY 11205

200 Broadway
Ste 3116
Brooklyn, NY 11211

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

3808 Union St
Ste 3N
Flushing, NY 11354
Phone (516) 238-6855

2200 Northern Blvd
Ste 212
Greenvale, NY 11548
Phone (516) 590-3700

332 W Montauk Hwy
Ste 1
Hampton Bays, NY 11946
Phone (631) 723-0600

755 Park Ave
Ste 200
Huntington, NY 11743
Phone (516) 433-3200

141 Washington Ave
Ste 204
Lawrence, NY 11559
Phone (516) 341-0990

496 County Road 111
Bldg D2
Manorville, NY 11949
Phone (516) 591-3000

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000

237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA
  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: xiaochang.chen.1@4303.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1619973625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-02 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-558-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "XIAOCHANG",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "227986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.