Theresa Rose Chan, MSN, FNP-C, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F02220735 Issued in NJ

Practice address

1 Riverfront PLZ Ste 300
Newark, NJ 07102-5412

Phone

(201) 273-7047

Fax

(855) 998-4358

NPI assigned

Feb 28, 2022

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
• Direct secure messaging: theresa.chan.1@11700.direct.athenahealth.com
• Direct secure messaging: theresa.chan.1@32913.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clare Medical of New Jersey LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Holly, NJ
  • NPI 1255718276
  Medicare reassignment NPD
• Ennoble HC NJ PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1306500764
  Medicare reassignment NPD
• Harmony Medical Services of New Jersey LLC

  dba Harmonycares Medical Group

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1649873183
  Medicare reassignment NPD
• Personal NP Services, LLC

  dba Vitality NP Services

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1649658105
  Medicare reassignment NPD
• Harmony Medical Services of New Jersey LLC

  dba Harmonycares Medical Group

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1356048573
  NPD
• Vitality NP Group LLC

  • Nurse Practitioner
  • Horsham, PA
  • NPI 1003453051
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1932855038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD PALISADE RD APT 2111",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247020",
            "telephone_number": "510-220-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PLZ STE 300",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071025412",
            "telephone_number": "201-273-7047",
            "fax_number": "855-998-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Engle St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312936",
            "country_code": "US",
            "telephone_number": "800-200-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "THERESA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "F02220735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samhita Chakraborty, M.D.
• Mirline Champe
• Eric Chan, MD
• Jose R Chan, MD
• Priscilla Chan
• Yu-Feng Chan, M.D.
• Sarita-Truely Chance
• Aishwarya Chandra
• Aswin Chandrakantan, MD
• Kathleen Chang Dyal, MBBS

• Primary Care Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.