MR. KENNETH KIAN-LIP CHAN (NPI# 1336306083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336306083 |
| Entity Type | Individual |
| Full Name | MR. KENNETH KIAN-LIP CHAN |
| Credential | MSPA PAC |
| Practice Address |
11 Bishop Place Occupational Health Dept B3 New Brunswick NJ 08901 |
| Practice Telephone | 7329328254 |
| Practice Fax Number | 7329328254 |
| Mailing Telephone | 7329328254 |
| Mailing Fax Number | 7329328254 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00098600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811079106 | Kenneth Ka Chan | Dentist | 1315 Fair Oaks Ave Ste 103, South Pasadena, CA 91030-3868 | 2006-10-19 |
| 1912091919 | Kenneth Dong Chan | Internal Medicine | 789 Vallejo St, San Francisco, CA 94133-3834 | 2006-10-03 |
| 1124446117 | Kenneth Kin Kan Chan | Family Medicine | 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 | 2014-04-07 |
| 1033421177 | Kenneth Chan | Occupational Therapist | 18 Heyward St, Brooklyn, NY 11211-9210 | 2010-07-06 |
| 1780762435 | Kenneth K.m. Chan | Internal Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1861422370 | Kenneth Mankin Chan | Internal Medicine | 207 S Santa Anita Ave, San Gabriel, CA 91776-1146 | 2006-07-03 |
| 1649236480 | Kenneth Kai Hei Chan | Specialist | 23441 Madison St, #290, Torrance, CA 90505-4725 | 2006-04-21 |
| 1720042138 | Kenneth Chan | Psychiatry & Neurology | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-04-13 |
| 1639178460 | Kenneth Kwok-chun Chan | Pediatrics | 140 Haverhill St, Andover, MA 01810-1504 | 2005-07-14 |
| Street Address |
11 BISHOP PLACE OCCUPATIONAL HEALTH DEPT B3 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049754 | Ann Farrell Alban | Nurse Practitioner | 11 Bishop Place, Rutgers University Health Service, New Brunswick, NJ 08901-1180 | 2006-08-31 |
| 1255460275 | Jessica Mena | Family Medicine | 11 Bishop Place, Hurtado Health Center, New Brunswick, NJ 08901 | 2007-03-05 |
| 1548361660 | William Newrock | Family Medicine | 11 Bishop Place, Hurtado, New Brunswick, NJ 08901 | 2006-09-25 |
| 1225131683 | Theresa Ann Lord-stout | Nurse Practitioner | 11 Bishop Place, Rutgers University Hurtado Health Center, New Brunswick, NJ 08901 | 2006-09-07 |
| 1164525523 | Adele Rose Cordasco | Pharmacist | 11 Bishop Place, Rutgers University Health Services, New Brunswick, NJ 08901-1180 | 2006-09-07 |
| 1003928557 | Jetsie Latina Richardson | Pharmacist | 11 Bishop Place, Rutgers University Health Service, New Brunswick, NJ 08901-1180 | 2006-08-31 |
| 1295847713 | Racquel San Juan | Psychiatry & Neurology | 11 Bishop Place, New Brunswick, NJ 08901-1180 | 2006-08-31 |
| 1962514554 | Ann Maher | Nurse Practitioner | 11 Bishop Place, New Brunswick, NJ 08901 | 2006-08-31 |
| 1346352887 | Najmussahar M Shaikh | Psychiatry & Neurology | 11 Bishop Place, Hurtado Health Center, New Brunswick, NJ 08901-1180 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380302 | Sara Levy | Physician Assistant | Rutgers-rwj Medical Group-emergency Medicine, One Robert Wood Johnson Place, New Brunswick, NJ 08901 | 2017-11-17 |
| 1992833487 | Jacqueline Figueroa | Physician Assistant | Saint Peter's University Hospital, 254 Easton Ave, New Brunswick, NJ 08901 | 2007-02-28 |
| 1033265996 | Orlee Rait | Physician Assistant | 254 Estaon Ave, New Brunswick, NJ 08901-1766 | 2007-01-25 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1215547716 | Sean Michael Etheridge | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-09 |
| 1811529423 | Alina Godovska | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-02-11 |
| 1326698663 | Tyler Richard Warner I | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2019-09-18 |
| 1568011781 | Danielle Frask | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2019-09-10 |
| 1891340923 | Robin Annette Bergeron | Physician Assistant | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2019-08-06 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
Please comment or provide details below to improve the information on MR. KENNETH KIAN-LIP CHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.