Individual provider Active NPI

Jemimah Ming Chen, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1710447719
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
323144 Issued in NY
Practice address
1125 Fulton St Ste 2
Brooklyn, NY 11238-2669
Phone
(347) 226-9025
Fax
(877) 513-6170
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 323144 NY Primary

Addresses

Primary practice location

1125 Fulton St Ste 2
Brooklyn, NY 11238-2669

Mailing address

599 Rogers Ave Apt 2a
Brooklyn, NY 11225-3837
Phone (850) 384-8086

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
I20240122000764 NY Practitioner - Psychiatry 6406208834 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323144NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Child Center of Ny, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Sus Mental Health Programs, Inc. Psychiatry CurrentSince Dec 26, 2023 Accepting new patients

Locations

1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025

14015 Sanford Ave
Ste B
Flushing, NY 11355
Phone (718) 450-9242

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

16318 Jamaica Ave
Ste 2
Jamaica, NY 11432
Phone (718) 297-8000

463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710447719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 ROGERS AVE APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253837",
            "telephone_number": "850-384-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FULTON ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382669",
            "telephone_number": "347-226-9025",
            "fax_number": "877-513-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JEMIMAH",
        "middle_name": "MING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "323144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.