JEFFREY CHAN (NPI# 1417918343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417918343 |
| Entity Type | Individual |
| Full Name | JEFFREY CHAN |
| Credential | MD |
| Practice Address |
8906 135th St Suite 2t Jamaica NY 11418-2821 |
| Mailing Address |
80 Marcus Dr Provider Enrollment Melville NY 11747-4230 |
| Practice Telephone | 7182067110 |
| Practice Fax Number | 7182067111 |
| Mailing Telephone | 6313917889 |
| Mailing Fax Number | 6314544163 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 206686 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01755004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303665 | Jeffrey Chan | Radiologic Technologist | 2735 Ulloa St, San Francisco, CA 94116-2321 | 2020-07-17 |
| 1295101798 | Jeffrey Chan | Acupuncturist | 39 E Broadway Ste 302, New York, NY 10002-6804 | 2015-08-19 |
| 1841630993 | Jeffrey Chi Kin Chan | Student in an Organized Health Care Education/Training Program | 215 W Merlot Dr, Covina, CA 91723-1565 | 2013-07-02 |
| 1962024182 | Jeffrey Allen Chan | Pharmacist | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-05-11 |
| 1326523820 | Jeffrey James Chan | Physical Therapist | 10 Columbus Cir, New York, NY 10019-1158 | 2018-10-01 |
| 1568834448 | Jeffrey Chan | Physical Therapist | 2030 Addison St, Berkeley, CA 94704-1158 | 2015-10-30 |
| 1497091789 | Jeffrey Lu-wei Chan | Pharmacist | 164 W Jackson St, Hayward, CA 94544-1810 | 2012-12-14 |
| 1598015562 | Jeffrey Chan | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2012-09-17 |
| 1588914733 | Jeffrey Alexander Chan | Chiropractor | 1250 Addison St, Suite 102, Berkeley, CA 94702-1700 | 2012-09-14 |
| 1770843112 | Jeffrey Dulay Chan | Registered Nurse | 1450 S Imperial Ave, El Centro, CA 92243-4200 | 2012-05-18 |
| Street Address |
8906 135TH ST SUITE 2T |
| City | JAMAICA |
| State | NY |
| Zip Code | 11418-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004507 | Md Shahadat Hossain | Student in an Organized Health Care Education/Training Program | 8906 135th St, Jamaica, NY 11418-2821 | 2019-03-29 |
| 1265824684 | Danielle M Carroll | Family Medicine | 8906 135th St, Suite 3d, Jamaica, NY 11418-2821 | 2015-02-22 |
| 1962893818 | Elizabeth Figuracion | Student in an Organized Health Care Education/Training Program | 8906 135th St, Room 3d, Jamaica, NY 11418-2821 | 2015-02-13 |
| 1609266410 | Elizabeth Choi | Family Medicine | 8906 135th St, Suite 3d, Jamaica, NY 11418-2821 | 2015-01-31 |
| 1518235134 | Lindsay Nicole Price | Advanced Practice Midwife | 8906 135th St, Suite 6a, Jamaica, NY 11418-2821 | 2011-12-09 |
| 1578858346 | Emily R Copel | Family Medicine | 8906 135th St, Jamaica, NY 11418-2821 | 2011-06-09 |
| 1205130028 | Hemangi Prabodh Shukla | Obstetrics & Gynecology | 8906 135th St, Suite 6a, Jamaica, NY 11418-2821 | 2011-01-09 |
| 1801108238 | Frances Perez-hernandez | Midwife | 8906 135th St, 6a, Jamaica, NY 11418-2821 | 2010-07-14 |
| 1639401797 | Nisha E Arikupurathu | Midwife | 8906 135th St, Suite 6a, Jamaica, NY 11418-2821 | 2010-02-01 |
| 1225364649 | Dawn Lucia King | Nurse Practitioner | 8906 135th St, 6t, Jamaica, NY 11418-2821 | 2009-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
| Find all providers in zip 11418 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740185 | Michael Jeremie Donaire | Surgery | 8629 Midland Pkwy, Jamaica, NY 11432-3041 | 2013-06-20 |
| 1255686085 | Ayodele O Atolagbe | Surgery | 14554 107th Ave, Jamaica, NY 11435-5240 | 2012-07-18 |
| 1588905103 | Katherine Mckenzie | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2013-03-06 |
| 1497948087 | Grace A Montenegro | Surgery | 8268 164th St, Dept. of Surgery, Jamaica, NY 11432-1121 | 2007-08-27 |
| 1447471826 | Neil Montgomery Richards | Surgery | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-05-01 |
| 1790819084 | Amit Rohan Toor Joshi | Surgery | 8900 Van Wyck Expy, Jamaica Hospital--department of Surgery, Jamaica, NY 11418-2897 | 2007-03-16 |
| 1154469724 | Rebecca Lee | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-02-03 |
| 1376689109 | Samir Dutta | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-01-29 |
| 1073680500 | Stacey Joy Simmons | Surgery | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-29 |
| 1124193164 | Feliciano Rolando Pascal-simpson | Surgery | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-22 |
| Find all providers in JAMAICA | ||||
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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.