DR. DEREK VICTOR CHAN (NPI# 1932488574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932488574 |
| Entity Type | Individual |
| Full Name | DR. DEREK VICTOR CHAN |
| Credential | M.D., PH.D. |
| Practice Address |
119 W 57th St Ste 212 New York NY 10019-2302 |
| Practice Telephone | 2126063780 |
| Practice Fax Number | 2126063785 |
| Mailing Telephone | 2126063780 |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 279602 | NY | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | DR.0055946 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Lowell Ave, New Hyde Park, NY 110402810 | 5163264160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124283676 | Derek Mk Chan | Dentist | 426 S Buckner Blvd, Dallas, TX 75217-6521 | 2008-07-24 |
| 1033610886 | Derek Chan | Physical Therapist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2018-02-27 |
| Street Address |
119 W 57TH ST STE 212 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205939519 | Robert Gotlin | Physical Medicine & Rehabilitation | 119 W 57th St Ste 212, New York, NY 10019-2302 | 2006-09-06 |
| 1245857440 | All Dermis Dermatology, PC | Dermatology | 119 W 57th St Ste 212, New York, NY 10019-2302 | 2020-07-03 |
| 1154968295 | Jyoti Jani | Physical Therapist | 119 W 57th St Ste 212, New York, NY 10019-2302 | 2019-12-09 |
| 1851564397 | Stephanie Dessi Kiley Occupational Therapy PC | Clinic/Center | 119 W 57th St Ste 212, New York, NY 10019 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636384 | Markowitz Medical Pllc | Dermatology | 1150 5th Ave # Suire1a, New York, NY 10128-0724 | 2020-10-12 |
| 1114545985 | Tarek Yamany Md Pllc | Dermatology | 229 W 60th St Apt 8e, New York, NY 10023-7507 | 2020-07-08 |
| 1952924839 | Elizabeth Jessica Ranelli | Dermatology | 16 W 17th St, New York, NY 10011-5738 | 2020-05-26 |
| 1235776485 | Libby Rhee Do Dermatology Pllc | Dermatology | 110 E 60th St # 800, New York, NY 10022-1688 | 2019-12-06 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1831751379 | Jessica Weiser, M.d., Pllc | Dermatology | 155 Spring St Fl 5, New York, NY 10012-5208 | 2019-07-05 |
| 1700341617 | Db Dermatology Pllc | Dermatology | 483 10th Avenue, Suite 310, New York, NY 10018-9737 | 2019-02-05 |
| 1912483520 | Ofer Reiter Agar | Dermatology | 1233 York Ave Apt 19i, New York, NY 10065-6342 | 2018-07-17 |
| 1336634096 | Es Dermatology, Pllc | Dermatology | 110 E 55th St Fl 11, New York, NY 10022-4551 | 2018-06-26 |
| 1073024626 | Jennifer Geiger, Md, Pllc | Dermatology | 20 E 46th St Rm 1302, New York, NY 10017-9245 | 2017-10-22 |
| 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.