DR. JACQUELINE CHAN (NPI# 1992931299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992931299 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE CHAN |
| Credential | MD |
| Practice Address |
139 Centre St Suite 307 New York NY 10013-4552 |
| Practice Telephone | 2123343507 |
| Practice Fax Number | 2123344728 |
| Mailing Telephone | 2123343507 |
| Mailing Fax Number | 2123344728 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
246413 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
246413 | NM | Allopathic & Osteopathic Physicians |
| N | 207RA0002X | 246413 | NY |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03350121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| 1356735914 | Jacqueline Chan | Pediatrics | 1120 15th St, Augusta, GA 30912-7232 | 2015-03-22 |
| 1164651279 | Jacqueline Yan-nei Chan | Physician Assistant | 2450 Riverside Ave, Fco-4, Minneapolis, MN 55454-1450 | 2009-07-10 |
| 1801094032 | Jacqueline W.l. Chan | Psychiatry & Neurology | 447 W Eaton Ave, Tracy, CA 95376-3420 | 2007-07-10 |
| Street Address |
139 CENTRE ST SUITE 307 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508701 | Soman Mary Wong | Obstetrics & Gynecology | 139 Centre St, Ste 809, New York, NY 10013-4558 | 2005-09-19 |
| 1356952535 | Mk Eyecare | Technician/Technologist | 139 Centre St, New York, NY 10013-4552 | 2020-08-12 |
| 1386113819 | Mansoo Kim | Acupuncturist | 139 Centre St, Ste 507, New York, NY 10013-4555 | 2018-11-14 |
| 1255834099 | Janet Chee Sun | Physician Assistant | 139 Centre St, New York, NY 10013-4552 | 2018-03-16 |
| 1417498148 | Abc Finest Home Care Agency LLC | Home Health | 139 Centre St, Ste 304, New York, NY 10013-4552 | 2017-03-14 |
| 1619417805 | Shoua Xiong | Nurse Practitioner | 139 Centre St, Ste 314, New York, NY 10013-4552 | 2017-03-07 |
| 1154866671 | Alice Man Chan, Ccc-audiology, PC | Audiologist-Hearing Aid Fitter | 139 Centre St, Suite 803, New York, NY 10013-4552 | 2016-12-20 |
| 1760939177 | Jenny Jia Yan Li | Pharmacist | 139 Centre St, New York, NY 10013-4552 | 2016-09-01 |
| 1851846604 | Jaime Yun M.d, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 139 Centre St, Suite 515, New York, NY 10013-4552 | 2016-08-22 |
| 1134571466 | Gabrielle Laflamme Massoth | Audiologist | 139 Centre St, New York, NY 10013-4552 | 2016-07-11 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206288 | Suzanne R Steinbaum Do PC | Internal Medicine | 800 5th Ave Ste 205, New York, NY 10065-7216 | 2019-10-14 |
| 1902460124 | Victory Medical Associates PC | Internal Medicine | 129 Central Park N, New York, NY 10026-4201 | 2019-04-23 |
| 1881176931 | Craig H. Warschauer, M.d., P.C. | Internal Medicine | 1440 York Ave Ofc P9, New York, NY 10075-2577 | 2018-09-05 |
| 1902257520 | Mithun Jacob Varghese | Internal Medicine | C/o Maria Directo, Mount Sinai Hospital, One Gustave Levy Place, Box 1030, New York, NY 10029 | 2016-06-24 |
| 1154778900 | Amir Ahmadi | Internal Medicine | 525 E 72nd St Apt 27a, New York, NY 10021-9609 | 2016-05-23 |
| 1922496603 | Margaret A Sullivan Md | Internal Medicine | 8 E 83rd St # 1b, New York, NY 10028-0418 | 2015-01-02 |
| 1851702971 | New Wave Diagnostic Radiology Pllc | Internal Medicine | 1438 3rd Ave Apt 27b, New York, NY 10028-1980 | 2014-05-12 |
| 1609286301 | Daniel Yang Lu | Internal Medicine | 520 East 70th Street, Starr Pavilion, 4th Floor, New York, NY 10021 | 2014-05-02 |
| 1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
| 1982026266 | Rudolf Zalter | Internal Medicine | 10 East End Ave., #1h, New York, NY 10075 | 2014-01-06 |
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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.