Individual provider Active NPI

Minjun Chen

  • Pharmacist
  • New York, NY
National Provider Identifier
1861058091
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
057198 Issued in NY
Practice address
160 E 53Rd St
New York, NY 10022-5243
Phone
(646) 888-0731
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0006531 NY
Acupuncturist 171100000X 25MZ001389 NJ
Pharmacist 183500000X 28RI04141900 NJ
Pharmacist 183500000X 057198 NY Primary

Addresses

Primary practice location

160 E 53Rd St
New York, NY 10022-5243

Mailing address

313 Clarendon St
Secaucus, NJ 07094-3313
Phone (717) 681-8561

Other practice location 1

720 E Palisade Ave Ste 106
Englewood Cliffs, NJ 07632-3054
Phone (201) 408-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25MZ001389NJMDAcupuncturist
0006531NYMDAcupuncturist
28RI04141900NJMDPharmacist
057198NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Queen Herb Acupuncture PC Acupuncturist Past Accepting new patients
Gi Acupuncture PC Acupuncturist Past Accepting new patients

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1861058091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CLARENDON ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943313",
            "telephone_number": "717-681-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 53RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225243",
            "telephone_number": "646-888-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 E Palisade Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Englewood Cliffs",
            "state": "NJ",
            "postal_code": "076323054",
            "country_code": "US",
            "telephone_number": "201-408-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MINJUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0006531",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ001389",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04141900",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.