Active NPI
Lynn Chan, NP
- Adult Health Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F308555
- Practice address
- 506 6TH St
Brooklyn, NY 11215 - Phone
- (718) 780-7830
- NPI assigned
- Feb 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 692632-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F308555 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215
Mailing address
506 6TH St
Brooklyn, NY 11215-3609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (301) 279-6000
Hospital & facility affiliations
- Adventist Healthcare White Oak Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 79.78
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692632-1 | NY | MD | Critical Care Medicine Registered Nurse |
| F308555 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Physician Services, PC | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Adventist Physician Services (Wah) | Past | Accepting new patients |
Locations
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
11886 Healing Way
Ste 402
Silver Spring, MD 20904
Phone (240) 637-7000
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Cardiovascular Disease Physician
- Rockville, MD
- NPI 1144247024
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1487650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1740729029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "LYNN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-19",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "692632-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F308555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.