TIMOTHY CHAN


Address: 5645 Main St, Flushing, NY 11355-5045
Phone: 7186702000

TIMOTHY CHAN (NPI# 1669015053) 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) 1669015053
Entity Type Individual
Full Name TIMOTHY CHAN
Credential PA-C
Practice Address 5645 Main St
Flushing
NY 11355-5045
Mailing Address 10 Yorkshire Rd
New Hyde Park
NY 11040-3612
Practice Telephone 7186702000
Mailing Telephone 9175026646
Enumeration Date 2019-10-18
Last Update Date 2019-10-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIMOTHY CHAN

NPI Name Taxonomy Address Enumeration
1487175535 Timothy Chan Family Medicine 999 S Volusia Ave, Orange City, FL 32763-6564 2017-06-29
1316251481 Timothy Y Chan Pharmacist 2201 Edgewater Dr, Orlando, FL 32804-5319 2010-08-01
1790955367 Timothy Chan I Podiatrist 2800 Doral Ct, Las Cruces, NM 88011-8616 2008-03-10
1538205620 Timothy An-thy Chan Radiology 1275 York Ave, Box 20, New York, NY 10065-6007 2007-01-29

Office Location

Street Address 5645 MAIN ST
City FLUSHING
State NY
Zip Code 11355-5045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821094400 Maryanne Chin Nurse Anesthetist, Certified Registered 5645 Main St, Flushing, NY 11355-5045 2005-06-28
1093315160 Ashlee Mishae Dillon Registered Nurse 5645 Main St, Flushing, NY 11355-5045 2020-10-28
1275131229 Dakai Liu Spec/Tech, Pathology 5645 Main St, Flushing, NY 11355-5045 2020-10-13
1194322552 Priyamvada Pillai Student in an Organized Health Care Education/Training Program 5645 Main St, Flushing, NY 11355-5045 2020-10-07
1831705078 Justine Chirichella Dietitian, Registered 5645 Main St, Flushing, NY 11355-5045 2020-09-22
1063037422 Chuhyun Jana Myong Pharmacist 5645 Main St, Flushing, NY 11355-5045 2020-06-11
1427673169 Isabel Yuabov Student in an Organized Health Care Education/Training Program 5645 Main St, Flushing, NY 11355-5045 2020-06-09
1174147011 Philemon Chu Physician Assistant 5645 Main St, Flushing, NY 11355-5045 2020-06-06
1710501044 Lea Chernoff Student in an Organized Health Care Education/Training Program 5645 Main St, Flushing, NY 11355-5045 2020-06-02
1639793201 Jiawen Huang Physician Assistant 5645 Main St, Flushing, NY 11355-5045 2020-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588281364 Antoinette Sanon Registered Nurse 42-49 Alban St, Flushing, NY 11355 2020-06-29
1336765353 Jayesh Nakum Physical Therapist 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 2020-06-25
1417582990 Royal Class Home Health Care Agency, Inc Home Health 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 2020-03-05
1356972673 Christine Samuel Nurse Practitioner Nyp Queens, 56-45 Main Street, Flushing, NY 11355 2020-01-27
1740842590 Ji Nu Lee Acupuncturist 138 49 Barclay Ave. 6a, Flushing, NY 11355 2019-07-02
1386203990 Paula Scharffenberg Registered Nurse 140-50 Poelar Ave, Queens, NM 11355 2019-06-07
1821655101 Erin Cisney Student in an Organized Health Care Education/Training Program 5654 Main St, Flushing, NY 11355 2019-05-22
1356810063 Sanjay Lodha Physician PC Internal Medicine 45 72 Parsons Lewis Blvd, Flushing, NY 11355 2018-11-26
1740756576 Allday Pharmacy Inc Pharmacy 4199 Main St, Suite 202a, Flushing, NY 11355 2018-10-19
1477035806 Xiaona Mo Acupuncturist 42-67 Saull St #b, Flushing, NY 11355 2018-09-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023638509 Kristina Rajic Physician Assistant 7237 66th Dr, Flushing, NY 11379-2111 2020-04-24
1932559895 Victoria Ciano Physician Assistant 2736 167th St, Flushing, NY 11358-1126 2016-06-21
1932506094 Michelle Li Physician Assistant 132-59 41st Rd, Ste Cb, Flushing, NY 11355 2014-12-04
1184020315 Wai Loon Bong Physician Assistant 13811 63rd Ave, Flushing, NY 11367-1105 2014-11-17
1841693694 Katie Jiajia Li Physician Assistant 6123 136th St Fl 1, Flushing, NY 11367-1038 2014-10-07
1346515780 Tae Y Kang Physician Assistant 3834 Parsons Blvd # 1a, Flushing, NY 11354-5843 2012-03-19
1881978955 Joanne Rong Physician Assistant 13252 41st Ave, Flushing, NY 11355-5883 2011-10-06
1275833824 Maryium Riaz Physician Assistant 5733 157 St, Flushing, NY 11355 2010-10-29
1225227630 Hui Ren Physician Assistant 13252 41st Ave # M1, Flushing, NY 11355-5845 2007-10-22
1861439523 Sidney Rodolfo Wilson Physician Assistant 4115 162nd St, Flushing, NY 11358-4124 2006-06-01
Find all providers in FLUSHING

Competitor

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City FLUSHING
Zip Code 11355

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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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