Active NPI
Quyuan Chen, MD LLC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1942792494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 205642
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Qiyuan Chen, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01719800 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1235259284
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.