Teresa T Chan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2139581 Issued in NY

Practice address

260 E Broadway Ste 2
New York, NY 10002-5609

Phone

(212) 777-4329

Fax

(212) 777-4301

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Albany Medical College of Union University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFABCA/Endpoint/DFABCA
• Direct secure messaging: tchan1810813@nychhc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DFABCA

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.

• Lower East Side Family Medicine PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1356692859
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1922190388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025609",
            "telephone_number": "212-777-4329",
            "fax_number": "212-777-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E BROADWAY STE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025609",
            "telephone_number": "212-777-4329",
            "fax_number": "212-777-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TERESA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2139581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02230335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Chan
• Susenna Chan, PA-C
• Suzanne M Chan, CPNP-PC
• Sze Kwan Chan, L AC., DIPL OM
• Takyan Chan, DDS
• Thomas K Chan, MD
• Tiffany Chan, MD
• Timothy An-Thy Chan, MD, PHD
• Tina Chan, O.D.
• Tina Chan, PH.D.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.

Verify at the official NPI Registry.