MS. JUDY P. CHAN (NPI# 1801063995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801063995 |
Entity Type | Individual |
Full Name | MS. JUDY P. CHAN |
Credential | PA |
Practice Address |
234 E 149th St Bronx NY 10451-5504 |
Mailing Address |
177 Fort Washington Ave New York NY 10032-3733 |
Practice Telephone | 7185795000 |
Mailing Telephone | (212) 342-3622 |
Enumeration Date | 2008-05-08 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
NY | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
012561 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
177 Fort Washington Ave, New York, NY 100323733 | 2123423622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457706517 | Judy Chan | Physical Therapist | 309 E Linda Vista Ave, Alhambra, CA 91801-4815 | 2016-04-26 |
1598120669 | Judy Chan | Physician Assistant | 764 Neath Ave, Las Vegas, NV 89178-1268 | 2015-12-16 |
1801899117 | Judy Chan | Optometrist | 8400 Ne Vancouver Mall Loop, Suite 110, Vancouver, WA 98662-6648 | 2005-05-31 |
1427532241 | Judy Chan | Occupational Therapist | 16 Sumner Pl, Brooklyn, NY 11206-4110 | 2018-09-18 |
1477058402 | Judy Chan | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2018-03-30 |
1639390214 | Judy Lai Yee Chan | Nurse Practitioner | 8600 Old Georgetown Road, Suburban Hospital, Bethesda, MD 20814 | 2007-05-01 |
1215085279 | Judy S. Chan | Optometrist | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-01-08 |
1093826620 | Judy H. Chan | Nurse Practitioner | 1421 E 17th St, Santa Ana, CA 92705-8505 | 2006-08-31 |
Street Address |
234 E 149TH ST |
City | BRONX |
State | NY |
Zip Code | 10451-5504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750379616 | Jeanne Ann Devine | Genetic Counselor, MS | 234 E 149th St, Suite 5d Room 205, Bronx, NY 10451-5504 | 2005-10-13 |
1982205977 | Stephanie Lee Waldman | Physician Assistant | 234 E 149th St, Bronx, NY 10451-5504 | 2020-11-05 |
1609473578 | Mansha Anil Khubchandani | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-10-05 |
1255938403 | Marcos Borthelle | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-10-01 |
1205442407 | Sanjana Babbar | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-22 |
1326653684 | Caitlin Marisa Hanley | Nurse Practitioner | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-14 |
1952915860 | Marco Adly | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-09-08 |
1699388132 | Waleed Saleh Abuhishmeh I | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-25 |
1700499316 | Yazan Al Jabiri | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-25 |
1720690555 | Mohannad Hussam Al-khateeb | Student in an Organized Health Care Education/Training Program | 234 E 149th St, Bronx, NY 10451-5504 | 2020-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
Find all providers in zip 10451 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629574348 | Viresh Ramnarayan | Physician Assistant | 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 | 2018-04-02 |
1871948620 | Klementina Koci | Physician Assistant | 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 | 2016-04-29 |
1134503931 | Lindsay Averill | Physician Assistant | 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 | 2015-07-13 |
1942693486 | Oumou Drame | Physician Assistant | 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 | 2015-03-09 |
1477734804 | Dimitra Mitsianis | Physician Assistant | 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 | 2007-11-14 |
1518151885 | Brenda Jean Vecchione | Physician Assistant | 3rd Ave & 183 St., Bronx, NY 10457 | 2007-08-30 |
1467597369 | Kwabena Ntiamoah | Physician Assistant | 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 | 2007-02-20 |
1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
1649335274 | Andrew Walter Douglas | Physician Assistant | 3rd Ave and 183rd Str, Bronx, NY 10457-2594 | 2006-12-26 |
1619584612 | Sallee Reynolds Mathews | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-24 |
Find all providers in BRONX |
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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.