Individual provider Active NPI

Chun Chen

  • Internal Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1780881680
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244759 Issued in NY
Practice address
2500 Nesconset Hwy BLDG 8D
Stony Brook, NY 11790-2552
Phone
(631) 366-4550
Fax
(631) 366-4556
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244759 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy BLDG 8D
Stony Brook, NY 11790-2552

Mailing address

2500 Nesconset Hwy
BLDG 8D
Stony Brook, NY 11790-2552
Phone (631) 366-4550

Other identifiers 1

IdentifierTypeStateIssuer
02900847MedicaidNY

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
I20071115000553 NY Practitioner - Internal Medicine 0345338976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2500 Nesconset Hwy
BLDG 8D
Stony Brook, NY 11790-2552
Phone (631) 366-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244759NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Chun Chen Primary Medical Care PC Internal Medicine CurrentSince Jul 10, 2015 Accepting new patients
Superio Jao MD PC Past Accepting new patients

Locations

2500 Route 347
Bldg 8D
Stony Brook, NY 11790
Phone (631) 366-4550

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 8

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1780881680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 8D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902552",
            "telephone_number": "631-366-4550",
            "fax_number": "631-366-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 8D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902552",
            "telephone_number": "631-366-4550",
            "fax_number": "631-366-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02900847",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.