Yuk-Wah N Chan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

169558 Issued in NY

Practice address

1539 Main St
Suite C, First Floor
Pleasant Valley, NY 12569-7834

Phone

(845) 635-9417

Fax

(845) 635-9419

NPI assigned

Jul 12, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: yukwah.chan@yukwahchan.chartmakerdirect.com

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335571200000",
    "number": "1972528099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125690561",
            "telephone_number": "845-635-9417",
            "fax_number": "845-635-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MAIN ST",
            "address_2": "SUITE C, FIRST FLOOR",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697834",
            "telephone_number": "845-635-9417",
            "fax_number": "845-635-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YUK-WAH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "169558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10045532",
            "identifier": "CDPHP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE",
            "identifier": "5375C1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "087116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Door Physical Therapy PLLC
• Marjorie Bright, BCBA
• Charles E Burbridge, PH.D.
• Jeanine Campbell, OTR/L
• Kim Carlin, RN
• Satish Chander
• Eric Carl Christensen, D.D.S.
• Anthony Charles Colarusso, D.D.S.
• Florence Kelley Conroy, PT
• Deven Coons

• Family Medicine Physician in Pleasant Valley, NY
• Providers in Pleasant Valley, 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 Apr 28, 2012; 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.