JOHNSON C CHAN


Address: 190 W Merrick Road, Freeport, NY 11520
Phone: 5168688333

JOHNSON C CHAN (NPI# 1487796850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487796850
Entity Type Individual
Full Name JOHNSON C CHAN
Credential MD
Practice Address 190 W Merrick Road
Freeport
NY 11520
Practice Telephone 5168688333
Practice Fax Number 5168681053
Mailing Telephone 5168688333
Mailing Fax Number 5168681053
Enumeration Date 2007-02-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine NY125002 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00398045 05

Other Providers JOHNSON CHAN

NPI Name Taxonomy Address Enumeration
1871679720 Johnson Chan Hospitalist 260 International Cir, San Jose, CA 95119-1130 2006-10-31

Office Location

Street Address 190 W MERRICK ROAD
City FREEPORT
State NY
Zip Code 11520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881157154 Barbara Chillemi Registered Nurse 56 Mackay Place, Freeport, NY 11520 2019-04-12
1588171631 Lisa Frank Nurse Practitioner 150 Buffalo Ave, Freeport, NY 11520 2018-01-10
1447775838 Julner Quettant Jr. Physical Therapist 63 St Marks Ave, Freeport, NY 11520 2017-08-07
1679003933 Candice A R Greene Speech-Language Pathologist 12 Summers Place, Freeport, NY 11520 2017-06-19
1700310331 Samantha Edwards Psychologist 6 Delisle Avenue, Freeport, NY 11520 2017-04-20
1275073769 Dorothea Geiger Behavior Technician 90 Hillside Ave, Freeport, NY 11520 2017-03-02
1477092575 Maryhaven Center of Hope,inc Substance Abuse Rehabilitation Facility 150 Buffalo Avenue, Freeport, NY 11520 2017-02-22
1861849135 Daniel Lora Acupuncturist 140 Parsons Ave, Freeport, NY 11520 2016-05-17
1326413790 Beatrice Jeanty Registered Nurse 619 South Long Beach Ave., Freeport, NY 11520 2015-12-10
1134505548 Maria A. Meek Nurse Practitioner 334, West Merrick Rd., Freeport., NY 11520 2015-08-07
Find all providers in zip 11520

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942798707 Ibis Health Services-maine LLC Internal Medicine 140 Main St Ste 3, Freeport, ME 04032-1348 2018-04-27
1972053890 Long Island Detox Inc. Internal Medicine 157 N Bayview Ave, Freeport, NY 11520-1901 2016-10-04
1134431455 Laurie Ann Ramrattan Internal Medicine 153 Mission Road, Freeport, TRINIDAD 11111 2010-07-02
1740208933 Scott Vincent Rankin Internal Medicine 276 Moore Ave, Freeport, NY 11520-1042 2006-07-17
1184662835 Twin Cities Primary Care, LLC Internal Medicine 479 Highway 20 E, Freeport, FL 32439-3931 2006-06-03
1538137351 Sakdidej Suwan Internal Medicine 419 Market St, Freeport, PA 16229-1121 2006-03-09
1487620803 William C Sharelis Internal Medicine 750 Kiwanis Dr, Freeport, IL 61032-7119 2006-02-25
1417920091 Sergio Gabriel Suarez Internal Medicine 72 Guy Lombardo Ave, Suite 1, Freeport, NY 11520 2006-02-13
1164494449 George Gregory Ross Internal Medicine 281 State Highway 20 E, Freeport, FL 32439-3929 2006-02-02
1316928617 Peter K Chak Internal Medicine 33 North Ocean Ave, Freeport, NY 11520 2005-11-14
Find all providers in FREEPORT

Competitor

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City FREEPORT
Zip Code 11520

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Dataset Information

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.

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