DR. SAMUEL S CHAN (NPI# 1841253267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841253267 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL S CHAN |
| Other Name | DR. SHEUNG-KWUN SAMUEL CHAN |
| Credential | M.D. |
| Practice Address |
202 Canal St Suite 801 New York NY 10013-4517 |
| Practice Telephone | 2124062301 |
| Practice Fax Number | 2124062359 |
| Mailing Telephone | 2124062301 |
| Mailing Fax Number | 2124062359 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
193850-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 246XC2901X |
Spec/Tech, Cardiovascular Specialization: Cardiovascular Invasive Specialist |
193850-1 | NY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID-GROUP PROVIDER(DOCTOR CHAN MEDICAL PRACTICE, PC) | 03543166 | 01 |
| NY | NPI-GROUP ORGANIZATION | 1376729426 | 01 |
| NY | GROUP NPI (DOCTOR CHAN MEDICAL PRACTICE, PC) | 1376729426 | 01 |
| NY | INDIVIDUAL NPI | 1841253267 | 01 |
| NY | MEDICAID-INDIVIDUAL PROVIDER | 01617692 | 01 |
| NY | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) | 03543166 | 01 |
| NY | NPI-INDIVIDUAL PROVIDER | 1841253267 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587773 | Samuel Chan | Physical Therapist | 295 Madison Ave Rm 1801, New York, NY 10017-6404 | 2020-04-17 |
| 1841371200 | Samuel Chan | Family Medicine | 13091 Kerry St, Garden Grove, CA 92844-1638 | 2006-10-18 |
| 1508830811 | Samuel Yan-ho Chan | Specialist | 2150 W 29th Ave, Suite 600, Denver, CO 80211-3844 | 2006-02-14 |
| 1972538841 | Samuel Chan | Internal Medicine | 11110 Medical Campus Rd Ste 143, Hagerstown, MD 21742-6755 | 2006-07-11 |
| 1528011889 | Samuel N. Chan | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-05-18 |
| 1730142183 | Samuel C. Chan | Internal Medicine | 5787 S Hampton Rd, Suite 300, Lb 134, Dallas, TX 75232-2255 | 2006-04-07 |
| 1114987526 | Samuel To-hang Chan | Specialist | 6620 Coyle Ave, # 301, Carmichael, CA 95608-6333 | 2006-03-28 |
| 1265493506 | Samuel Chan | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2006-03-28 |
| 1043286974 | Samuel Chan | Anesthesiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-02-28 |
| Street Address |
202 CANAL ST SUITE 801 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196898 | Dustin Triet Nguyen | Internal Medicine | 202 Canal St, Fl 7, New York, NY 10013-4517 | 2005-07-06 |
| 1003103615 | Norman Jermane Chan | Otolaryngology | 202 Canal St, Ste 602, New York, NY 10013-4517 | 2011-07-03 |
| 1609968833 | Andrew Naing | Ophthalmology | 202 Canal St, Ste 401, New York, NY 10013-4517 | 2006-09-28 |
| 1871512517 | Dang D Nguyen | Internal Medicine | 202 Canal St, Suite 305, New York, NY 10013-4517 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 246XC2901X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Cardiovascular Invasive Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669669313 | Roland Edmund Werner | Spec/Tech, Cardiovascular | 1106 Plank Rd, Webster, NY 14580-8511 | 2007-09-26 |
Please comment or provide details below to improve the information on DR. SAMUEL S 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.