Active NPI
Edwin K Chan MD PC
- Specialist
- Flushing, NY
National Provider Identifier
1710113949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 222486
- Legal business name
- EDWIN K CHAN MD PC
- Practice address
- 13640 39TH Ave
Ste 6GB
Flushing, NY 11354-5536 - Phone
- (718) 321-8246
- Fax
- (718) 321-8273
- NPI assigned
- Jun 2, 2009
- Last updated
- Oct 19, 2015
- 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
- Ms. Emily Lam
- Title
- Billing
- Phone
- (718) 321-8246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 222486 | NY | Primary |
Addresses
Primary practice location
13640 39TH Ave
Ste 6GB
Flushing, NY 11354-5536
Mailing address
PO Box 2625
New York, NY 10009-8925
Phone (718) 321-8246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13640 39th Ave
#6
Flushing, NY 11354
Phone (718) 321-8246
13640 39th Ave
Ste 6GB
Flushing, NY 11354
Phone (718) 321-8246
1430 2nd Ave
Rm 110
New York, NY 10021
Phone (212) 535-2298
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBCDBA
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Flushing, NY
- NPI 1285235432
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1639623234
-
- Family Nurse Practitioner
- Flushing, NY
- NPI 1366737314
-
- Specialist
- Flushing, NY
- NPI 1982664611
-
- Acute Care Nurse Practitioner
- New York, NY
- NPI 1053190157
-
- Physician Assistant
- Flushing, NY
- NPI 1174117907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1710113949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2625",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100098925",
"telephone_number": "718-321-8246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 39TH AVE",
"address_2": "STE 6GB",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545536",
"telephone_number": "718-321-8246",
"fax_number": "718-321-8273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWIN K CHAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "LAM",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "718-321-8246",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "222486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.