Chen Chang Jian NP in Family Health PC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

F333761 Issued in NY

Legal business name

CHEN CHANG JIAN NP IN FAMILY HEALTH PC

Practice address

1740 84TH St
Brooklyn, NY 11214-2825

Phone

(718) 885-8484

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Chang Jian Chen, FNP

Title

Owner

Phone

(917) 282-7683

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chang (Kenny) Jian Chen, FNP, BC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1275625634
  Medicare reassignment NPD

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1982015673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142915",
            "telephone_number": "917-282-7683",
            "fax_number": "718-265-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142825",
            "telephone_number": "718-885-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN CHANG JIAN NP IN FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "JIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-282-7683",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "F333761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03510827",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chemix, Inc.
• Yana S Chemodanova, RPA-C
• Chemplus Pharmacy Corp
• Chemplus Pharmacy Corp
• Mayer Chemtob, MS, LMHC
• Bixia Chen Deng
• Susie Si Chen-Kollali, DMD
• Aaron Chen, MD
• Aiying Chen, LMSW
• Alex Chen, MD

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.