DR. BENJAMIN CHAN (NPI# 1043574718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043574718 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN CHAN |
| Credential | M.D. |
| Practice Address |
31 Old Route 7 Brookfield CT 06804-1711 |
| Mailing Address |
400 E Main St Nwh Ed C/o Carol Forrest Mount Kisco NY 10549-3417 |
| Practice Telephone | 2038850808 |
| Practice Fax Number | 2038850813 |
| Mailing Telephone | 9146661254 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 62052 | CT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 282522 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E Main St, Nwh Ed C/o Carol Forrest, Mount Kisco, NY 105493417 | 9146661254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909590 | Benjamin Chan | Physical Therapist | 3120 Kingsbridge Ave Apt 2d, Bronx, NY 10463-3928 | 2020-10-15 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1063585198 | Benjamin Z Chan | Social Worker | 2620 S California Ave, Monrovia, CA 91016-5026 | 2006-11-16 |
| 1114489424 | Benjamin Chan | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-7419 | 2019-04-04 |
| 1235500224 | Benjamin K Chan | Pharmacist | 202 N Division St, Auburn, WA 98001-4939 | 2015-10-15 |
| 1538593223 | Benjamin Ming Fei Chan | Dentist | 2359 Mendon Rd, Cumberland, RI 02864-3707 | 2013-08-29 |
| 1922341528 | Benjamin Chan | Family Medicine | 4190 City Avenue, Suite 528 Rowland Hall, Philadelphia, PA 19131 | 2013-04-02 |
| 1952528374 | Benjamin Russell Chan | Psychiatry & Neurology | 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 | 2007-04-19 |
| 1285757609 | Benjamin Peter Chan | Internal Medicine | 1 Medical Center Dr, Dhmc Department of Hospital Medicine, Lebanon, NH 03756-0001 | 2007-04-09 |
| 1205920675 | Benjamin Q Chan | Family Medicine | 1700 N Buffalo Dr Ste 100, Las Vegas, NV 89128-2677 | 2006-10-03 |
| Street Address |
31 OLD ROUTE 7 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011457 | Larry Stephen Wasser | Internal Medicine | 31 Old Route 7, Ste 1a, Brookfield, CT 06804-1714 | 2005-08-23 |
| 1588262398 | Brooke Pawlak | Physical Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2020-10-14 |
| 1194204644 | Amara Primary Care LLC | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2018-08-07 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1487188892 | Edinam Akwasi Cudjoe | General Acute Care Hospital | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-04-13 |
| 1154866879 | Urgent Care Medical of New York, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-01-04 |
| 1336519537 | Urgent Care of Waterbury, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2015-09-30 |
| 1043651003 | Kimberly Carr | Nurse Practitioner | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-07-07 |
| 1790129039 | Orthoconnecticut, PC | Orthopaedic Surgery | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-04-17 |
| 1538415286 | Bruce Kistopher Roff | Acupuncturist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417225871 | David Ralph Nahin | Emergency Medicine | 1175 Gray Fox Hollow, Brookfield, WI 53045-4608 | 2011-12-13 |
| 1134173875 | Subhashish Agarwal | Emergency Medicine | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2006-05-19 |
| 1649233255 | Niel A Johnson | Emergency Medicine | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2006-04-07 |
| 1104322866 | Rebecca Frieda Krc | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628 | 2018-04-02 |
| 1730479254 | Urgent Care Medical Associates, LLC | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2011-04-18 |
| 1023345923 | David Loris Dollins | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-11-13 |
| 1316013675 | Jerry L Wait | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1558449868 | Michael J Alper | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2006-11-02 |
| 1538258876 | Brookfield Emergency Physicians Sc | Emergency Medicine | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-10-12 |
| 1033206016 | Gary Swart | Emergency Medicine | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-10-09 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on DR. BENJAMIN 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.