STEPHEN CHAN (NPI# 1386672053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386672053 |
| Entity Type | Individual |
| Full Name | STEPHEN CHAN |
| Credential | MD |
| Practice Address |
506 Lenox Ave New York NY 10037-1802 |
| Practice Telephone | 2129394902 |
| Practice Fax Number | 2129394836 |
| Mailing Telephone | 2129394902 |
| Mailing Fax Number | 2129394836 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
163256-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE GROUP # | W35021 | 01 |
| NY | 01131108 | 05 | |
| NY | MEDICAID GROUP # | 02186203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699157222 | Stephen Chan | Student in an Organized Health Care Education/Training Program | Wbamc, Attn: Gme, 5005 N. Piedras St., El Paso, TX 79920-5001 | 2015-06-19 |
| 1730160524 | Stephen Y Chan | Internal Medicine | 200 Lothrop Street, Bst E1240, Pittsburgh, PA 15213-2536 | 2005-11-08 |
| 1477167179 | Stephen Andrew Chan | Registered Nurse | 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 | 2020-09-01 |
| 1073019899 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2018-04-02 |
| 1982109138 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-03-29 |
| 1568994010 | Stephen A Chan | Otolaryngology | 200 1st St Sw, Rochester, MN 55905 | 2017-04-03 |
| 1760833420 | Stephen Michael Chan | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2016-06-23 |
| 1598029845 | Stephen M. Chan | Physical Therapist | 2500 Merced St, San Leandro, CA 94577-4201 | 2012-07-02 |
| 1356638597 | Stephen Chan | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-07-08 |
| 1659556140 | Stephen L Chan | Pharmacist | 4150 Clement Street, San Francisco, CA 94121 | 2008-01-03 |
| Street Address |
506 LENOX AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506994 | Jean Mary Barber | Physical Medicine & Rehabilitation | 506 Lenox Ave, Room 3122 Mlk Building, New York, NY 10037 | 2005-08-25 |
| 1821695891 | Gregoire Francois Jocelyn Jr. | General Practice | 506 Lenox Ave, New York, NY 10037-1802 | 2020-10-02 |
| 1992317259 | Marta Reyes | Social Worker | 506 Lenox Ave, New York, NY 10037-1889 | 2020-08-18 |
| 1841800406 | Ifeoma P. Kwentoh | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-08-07 |
| 1780209833 | Nkwachi C Ebere | Nurse Practitioner | 506 Lenox Ave, New York, NY 10037-1889 | 2020-06-15 |
| 1184246795 | Atin Kumar Shaha | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-18 |
| 1093337834 | Quilvio Antonio Rodriguez | Registered Nurse | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-14 |
| 1811519895 | Treyvon Deshawnte Merritt | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1889 | 2020-05-12 |
| 1376165597 | Fiza Mustafa | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-11 |
| 1326660630 | Preeti Nallan Chakravarthula | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| Find all providers in zip 10037 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720451 | Christophe Cloutier Lambert | Radiology | 1233 York Ave Apt 6m, New York, NY 10065-6342 | 2019-09-23 |
| 1437702727 | Pamela Ines Causa Andrieu | Radiology | 1233 York Ave Apt 19l, New York, NY 10065-6342 | 2019-07-16 |
| 1689231235 | Midtown Diagnostic Group, Inc | Radiology | 353 W 48th St Ste 450, New York, NY 10036-1324 | 2019-05-20 |
| 1659841013 | Midtown West Radiology P.C. | Radiology | 35 Seacoast Terrace, #20n, New York, NY 11235 | 2018-11-28 |
| 1407380272 | Joseph Charles Herring | Radiology | 506 Lenox Ave # Mlk6201, New York, NY 10037-1802 | 2017-04-18 |
| 1639542939 | Kolb Radiology P.C. | Radiology | 307 E 60th St, New York, NY 10022-1505 | 2015-11-09 |
| 1346645652 | Srm Radiology Associates PC | Radiology | 639 W End Ave, #pha, New York, NY 10025-7343 | 2014-10-29 |
| 1366882425 | Christopher John Burke | Radiology | 545 1st Ave # Gbhc124, New York, NY 10016-6401 | 2013-07-03 |
| 1356784490 | Jeffrey Michael Gnerre | Radiology | 150 E 42nd St Fl 4, New York, NY 10017 | 2013-04-08 |
| 1205179686 | James Bai | Radiology | 660 1st Ave Fl 1, New York, NY 10016-3295 | 2013-04-03 |
| Find all providers in NEW YORK | ||||
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| 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.