DR. EDWIN KENNETH CHAN


Address: 13640 39th Ave, Suite 6gb, Flushing, NY 11354-5536
Phone: 7183218246

DR. EDWIN KENNETH CHAN (NPI# 1982664611) 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) 1982664611
Entity Type Individual
Full Name DR. EDWIN KENNETH CHAN
Other Name DR. EDWIN K CHAN
Credential M.D.
Practice Address 13640 39th Ave
Suite 6gb
Flushing
NY 11354-5536
Mailing Address Po Box 2625
New York
NY 10009-8925
Practice Telephone 7183218246
Practice Fax Number 7183218273
Mailing Telephone 7183218246
Mailing Fax Number 7183218273
Enumeration Date 2006-03-25
Last Update Date 2016-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 222486 NY Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02655645 05

Other Providers EDWIN CHAN

NPI Name Taxonomy Address Enumeration
1497293690 Edwin C Chan Pharmacist 1235 W 18th St, Upland, CA 91784-1537 2017-02-08
1851917769 Edwin Yirong Chan Student in an Organized Health Care Education/Training Program University Drive C, Pittsburgh, PA 15240 2020-06-17
1225479280 Edwin Yue-hang Chan Anesthesiology 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 2013-07-07
1245562933 Edwin Chan General Acute Care Hospital 550 1st Ave, Nbv 16n1, New York, NY 10016-6402 2010-02-04
1124142054 Edwin Chan Family Medicine 6619 N Wickham Rd, Melbourne, FL 32940-2006 2007-03-17
1053427427 Edwin Tak-wing Chan Family Medicine 624 W Duarte Rd, Suite 208, Arcadia, CA 91007-7603 2006-08-21

Office Location

Street Address 13640 39TH AVE
SUITE 6GB
City FLUSHING
State NY
Zip Code 11354-5536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477526960 Opus Radiology, PC Radiology 13640 39th Ave, Flushing, NY 11354-5536 2006-02-07
1811433998 Nfp Health Group, LLC Clinic/Center 13640 39th Ave, Suite 403, Flushing, NY 11354-5536 2017-01-12
1639566102 Lily Wang Nurse Practitioner 13640 39th Ave, Suite 401, Flushing, NY 11354-5536 2015-04-22
1760828156 Hueychung Ghi Dentist 13640 39th Ave, Suite#402, Flushing, NY 11354-5536 2013-05-13
1184996456 Weibo Medical Care PC Family Medicine 13640 39th Ave, Suite 401, Flushing, NY 11354-5536 2012-02-02
1467782615 Li Zheng Family Medicine 13640 39th Ave, Suite 401, Flushing, NY 11354-5536 2010-01-11
1710113949 Edwin K Chan Md PC Specialist 13640 39th Ave, Ste 6gb, Flushing, NY 11354-5536 2009-06-02
1215128814 John Y Lim General Practice 13640 39th Ave, Suite 201, Flushing, NY 11354-5536 2007-08-07
1699807909 Radiology of Flushing, P.C. Radiology 13640 39th Ave, Flushing, NY 11354-5536 2007-03-12
1922177666 Hueychung Ghi, Dds PC Dentist 13640 39th Ave, Suite 402, Flushing, NY 11354-5536 2006-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699388157 Laeana Rodriguez Speech-Language Pathologist 30-04 146th St, Flushing, NY 11354 2020-08-25
1508402413 United Community Anesthesia Care Pllc Anesthesiology 3636 Maint St, 1s, Flushing, NY 11354 2019-11-26
1922658087 Xiaoyan Fei Social Worker Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 2019-09-19
1235797655 Life Improvement Homecare, Inc. Durable Medical Equipment & Medical Supplies 38-08 Union Street, Suite 2j, Flushing, NY 11354 2019-05-31
1497214985 Justin Young Lee Registered Nurse 143-23 38th Ave, Apt 2c, Flushing, NY 11354 2019-03-14
1669930962 Jacqueline Nicole Liu Student in an Organized Health Care Education/Training Program 29-30 138th Street, Apartment 3f, Flushing, NY 11354 2019-03-05
1275003378 Janet Poon Pharmacist 35-19 Leavitt St., #51, Flushing, NY 11354 2018-11-30
1659856490 Xiaohui Wang Medical Pllc Obstetrics & Gynecology 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 2018-09-27
1063990687 Harmony Care Physical Therapy PC Clinic/Center 35-05 Farrington Street, Ste A, Flushing, NY 11354 2018-08-06
1356827604 Theresa S Cheung Nurse Practitioner 39-07 Prince St, Ste 3h, Flushing, NY 11354 2018-07-18
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396375515 Mariyam Yagudayeva Specialist 15005 78th Ave, Flushing, NY 11367-3436 2020-01-16
1922648823 Aina Yao Specialist 2616 Union St Apt 6a, Flushing, NY 11354-1722 2020-01-09
1528612090 Leora A Shimunov Specialist 147-32 70th Ave, Flushing, NY 11367 2019-08-01
1245882422 Elaine M Hirakis Specialist 17311 47th Ave, Flushing, NY 11358-3804 2019-07-09
1235791807 Rivka Balgley Specialist 14438 75th Rd Apt 1b, Flushing, NY 11367-2426 2019-07-03
1801352125 Mayra Alejandra Reyes Ruiz I Specialist 15417 65th Ave, Flushing, NY 11367-1226 2019-02-11
1710450242 Grow and Develop With Inessa LLC Specialist 15034 76th Rd, Flushing, NY 11367-3141 2019-01-08
1649743295 Alma Beltran Specialist 14437 79th Ave Apt 1p, Flushing, NY 11367-3751 2019-01-07
1477037943 Parvin Jabbari Specialist 2704 Parsons Blvd Apt 3g, Flushing, NY 11354-1301 2018-09-20
1821586470 Eastern Chinese American Physician Ipa, Inc. Specialist 13620 38th Ave Ste 5j, Flushing, NY 11354-4232 2018-04-30
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Competitor

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City FLUSHING
Zip Code 11354

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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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