NPIMap

Individual provider Active NPI

Joena R Chan, M.D.

  • Family Medicine Physician
  • Monroe, NY
National Provider Identifier
1760420970
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227895 Issued in NY
Practice address
1200 Route 208
Suite 13
Monroe, NY 10950-4648
Phone
(845) 783-6266
Fax
(845) 783-9570
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227895 NY Primary

Addresses

Primary practice location

1200 Route 208
Suite 13
Monroe, NY 10950-4648

Mailing address

2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000139 NY Practitioner - Family Practice 9931090941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

1200 State Route 208
Monroe, NY 10950-4649
Phone (845) 783-6266

1460 State Route 17M
Chester, NY 10918-1054
Phone (845) 651-1400

21 Edward J Lempka Dr
Family Practice
Florida, NY 10921-0001
Phone (845) 651-1777

30 Hatfield LN
Goshen, NY 10924-6768

419 E Main St
Suite 101
Middletown, NY 10940-2552
Phone (845) 956-1363

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Archcare at Home Home health agency, Valhalla, NY, CCN 337140
  • Hospice of Orange & Sullivan Counties Inc Hospice, Newburgh, NY, CCN 331527
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227895NYMDFamily Medicine Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. Family Medicine CurrentSince Nov 3, 1997 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Nov 3, 1997 Accepting new patients

Locations

1460 State Route 17M
Ste A
Chester, NY 10918
Phone (845) 469-4211

1460 State Route 17M
#B
Chester, NY 10918
Phone (845) 469-2832

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400

40 Matthews St
Ste 305
Goshen, NY 10924
Phone (845) 291-7400

1200 State Route 208
Ste 13
Monroe, NY 10950
Phone (845) 783-0911

1200 State Route 208
Ste 15
Monroe, NY 10950
Phone (845) 549-1010

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: joena.chan@hfmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1760420970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROUTE 208",
            "address_2": "SUITE 13",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109504648",
            "telephone_number": "845-783-6266",
            "fax_number": "845-783-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOENA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

Verify at the official NPI Registry.