COREY CHAN (NPI# 1962065979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962065979 |
| Entity Type | Individual |
| Full Name | COREY CHAN |
| Practice Address |
550 Lynn St Ridgewood NJ 07450 |
| Practice Telephone | 2016022945 |
| Mailing Telephone | 2016022945 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
550 LYNN ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| 1689918419 | France M Heckard | Early Intervention Provider Agency | 921 East Ridgewood Ave., Ridgewood, NJ 07450 | 2012-11-16 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449487 | Ereny Mousa Kamel | Student in an Organized Health Care Education/Training Program | 6701 Forest Ave Apt 2r, Ridgewood, NY 11385-4449 | 2020-05-21 |
| 1225674906 | Sameen J Choudhry | Student in an Organized Health Care Education/Training Program | 6070 68th Rd Apt 1, Ridgewood, NY 11385-5100 | 2019-11-18 |
| 1750884961 | Maria Angelica Ortiz Bautista | Student in an Organized Health Care Education/Training Program | 617 Fairview Ave Apt 2, Ridgewood, NY 11385-2419 | 2018-03-14 |
| 1083136360 | Alvaro Tamayo Gutierrez | Student in an Organized Health Care Education/Training Program | 377 Onderdonk Ave, Ridgewood, NY 11385-1324 | 2017-07-08 |
| 1285181578 | Ahmed Ibrahem Ahmed Swi | Student in an Organized Health Care Education/Training Program | 6134 Madison St Apt 3d, Ridgewood, NY 11385-8710 | 2016-09-05 |
| 1013368885 | Swe Than | Student in an Organized Health Care Education/Training Program | 6018 Madison St, Ridgewood, NY 11385-3944 | 2016-06-23 |
| 1346694551 | Victor Xu | Student in an Organized Health Care Education/Training Program | 1844 Norman St, Ridgewood, NY 11385-5814 | 2016-04-14 |
| 1407236318 | Ioan Florinel Frunza Stefan | Student in an Organized Health Care Education/Training Program | 2108 Butler Ave, J1, Ridgewood, NY 11385-2013 | 2015-06-05 |
| 1194127464 | Obada Subei | Student in an Organized Health Care Education/Training Program | 6048 Palmetto St, Apt A4, Ridgewood, NY 11385-3213 | 2014-09-18 |
| 1821431974 | Ayotunde Oluwaseun Adeyeye | Student in an Organized Health Care Education/Training Program | 5937 Myrtle Ave, 2f, Ridgewood, NY 11385-5657 | 2013-04-08 |
| Find all providers in RIDGEWOOD | ||||
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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.