MICHELLE JIMENEZ CHAN (NPI# 1508339284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508339284 |
| Entity Type | Individual |
| Full Name | MICHELLE JIMENEZ CHAN |
| Practice Address |
327 Beach 19th St Far Rockaway NY 11691-4423 |
| Mailing Address |
2 Gold St Apt 1514 New York NY 10038-4847 |
| Practice Telephone | 7188697755 |
| Mailing Telephone | 3214827779 |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
431408 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
327 BEACH 19TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025341 | Horace Herbsman | Surgery | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2005-07-01 |
| 1861090151 | Valerie Revolus | Registered Nurse | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-10-09 |
| 1942828728 | Dipaloke Banik | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-07-08 |
| 1760007348 | Nicole Cedar Smith | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-10 |
| 1386268456 | Umair Haider | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1831713924 | Judy Wong | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1033733209 | Craig Andrew Biegel | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1790308716 | Melody Figueroa | Registered Nurse | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-26 |
| 1174146575 | Manu Dhawan | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-20 |
| 1265054845 | Lakhvir Pabla | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942576699 | Fay Rose | Nurse Practitioner | 529 Beach 20th St, Far Rockaway, NY 11691-3645 | 2012-03-27 |
| 1265580625 | Catherine Nozdrovicky | Nurse Practitioner | 228 Beach 20th St, Far Rockaway, NY 11691-3618 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669975 | Fereshta Azizy | Nurse Practitioner | 1806 Parsons Blvd, Whitestone, NY 11357-3042 | 2020-11-03 |
| 1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
| 1467069583 | Ma Teresa Justine V Balboa | Nurse Practitioner | 19 Low Ln, Levittown, NY 11756-4511 | 2020-09-24 |
| 1588270151 | Cynthia Li | Nurse Practitioner | 5312 80th St, Elmhurst, NY 11373-4732 | 2020-09-19 |
| 1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
| 1699389817 | John Paul Talmadge Cagigas | Nurse Practitioner | 402 N Indiana Ave, Lindenhurst, NY 11757-3423 | 2020-09-04 |
| 1891308615 | Peter Marusca | Nurse Practitioner | 4610 61st St Apt 14a, Woodside, NY 11377-5731 | 2020-08-31 |
| 1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
| 1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
| 1942819636 | Ruby Judith Maloco Garzon | Nurse Practitioner | 222 Peters Ave, East Meadow, NY 11554-1525 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.