Jersey Chen, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D74981 Issued in MD

Practice address

1 Medimmune Way
Gaithersburg, MD 20878-2204

Phone

(301) 398-0000

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2016.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1720046683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDIMMUNE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782204",
            "telephone_number": "301-398-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDIMMUNE WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782204",
            "telephone_number": "301-398-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JERSEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D74981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Chen, DMD
• Bo Chen, MSA
• Chihoung Jonathan Chen
• Gui Fang Chen, LICENSE ACUPUNCTURIS
• Hsiao-Yin Chen, LMSW
• Qi Chen, LGPC
• Timothy Bing-Tee Chen, M.D.
• Qiufang Cheng, MD
• Chesapeake Urology Associates, LLC
• Chesapeake Wellness Collective

• All providers in Gaithersburg, MD
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.