Individual provider Active NPI

Jin Yi Chen, AGPCNP

  • Adult Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1962376509
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F312475 Issued in NY
Practice address
746 Maguire Ave
Staten Island, NY 10309-4303
Phone
(917) 518-3111
NPI assigned
Oct 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F312475 NY Primary

Addresses

Primary practice location

746 Maguire Ave
Staten Island, NY 10309-4303

Mailing address

746 Maguire Ave
Staten Island, NY 10309-4303

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211003785 NY Practitioner - Nurse Practitioner 0042799751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

746 Maguire Ave
Staten Island, NY 10309-4303

818 60TH St
Unit C3
Brooklyn, NY 11220-4311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
312475NYMDLicensed Practical Nurse
F312475NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L&L Medical Care PC CurrentSince Dec 21, 2025 Accepting new patients

Locations

5115 7th Ave
Brooklyn, NY 11220
Phone (718) 436-3497

818 60th St
Unit C3
Brooklyn, NY 11220
Phone (718) 851-8928

Organizations & group practices 1

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": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1962376509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 MAGUIRE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 MAGUIRE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094303",
            "telephone_number": "917-518-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIN YI",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F312475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.