Active NPI
Florence Chan M.D.,PC
- Vascular Surgery Physician
- Jersey City, NJ
National Provider Identifier
1659691327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA03748900
- Legal business name
- FLORENCE CHAN M.D.,PC
- Practice address
- 205 9TH St
Jersey City, NJ 07302-1704 - Phone
- (973) 759-8700
- NPI assigned
- Jun 4, 2010
- Last updated
- Jun 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Florence Y Chan, M.D.
- Title
- President
- Phone
- (201) 420-1411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA03748900 | NJ | Primary |
Addresses
Primary practice location
205 9TH St
Jersey City, NJ 07302-1704
Mailing address
PO Box 130
Paramus, NJ 07653-0130
Phone (973) 759-8700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Jersey City, NJ
- NPI 1265497507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1659691327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076530130",
"telephone_number": "973-759-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 9TH ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021704",
"telephone_number": "973-759-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE CHAN M.D.,PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "FLORENCE",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-420-1411",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA03748900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.