Organization Active NPI

Quyuan Chen, MD LLC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1942792494
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205642 Issued in NY
Legal business name
QUYUAN CHEN, MD LLC
Practice address
8701 A Shore Road
Brooklyn, NY 11209-4204
Phone
(718) 238-3440
Fax
(888) 415-6838
NPI assigned
May 31, 2018
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Qiyuan Chen, MDNPI 1235259284
Title
President
Phone
(718) 238-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205642 NY Primary

Addresses

Primary practice location

8701 A Shore Road
Brooklyn, NY 11209-4204

Mailing address

PO Box 90422
Brooklyn, NY 11209-0422
Phone (718) 238-3440

Other identifiers 1

IdentifierTypeStateIssuer
01719800MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1942792494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90422",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112090422",
            "telephone_number": "718-238-3440",
            "fax_number": "888-415-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 A SHORE ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094204",
            "telephone_number": "718-238-3440",
            "fax_number": "888-415-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYUAN CHEN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "QIYUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-238-3440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "205642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.