BENJAMIN CHAN (NPI# 1922341528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922341528 |
| Entity Type | Individual |
| Full Name | BENJAMIN CHAN |
| Credential | D.O. |
| Practice Address |
4190 City Avenue Suite 528 Rowland Hall Philadelphia PA 19131 |
| Mailing Address |
824 Main St Phoenixville PA 19460-4478 |
| Practice Telephone | 2158716371 |
| Practice Fax Number | 2158716374 |
| Mailing Telephone | 6109357300 |
| Mailing Fax Number | 6109170646 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS018086 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4190 City Avenue, Suite 528 Rowland Hall, Philadelphia, PA 19131 | 2158716371 | 2158716374 |
| 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 |
| 1043574718 | Benjamin Chan | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-06-27 |
| 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 |
4190 CITY AVENUE SUITE 528 ROWLAND HALL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396056941 | Misha H Briere | Internal Medicine | 4190 City Avenue, Pcom Rowland Hall 409, Philadelphia, PA 19131 | 2010-06-29 |
| 1174152722 | Joseph Koby Ifrach | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Philadelphia, PA 19131-1693 | 2020-04-06 |
| 1316488208 | Farheen Khan | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Philadelphia, PA 19131 | 2017-03-13 |
| 1922548106 | Jonathan Scott Blizzard | Internal Medicine | 4190 City Avenue, Philadelphia, PA 19131 | 2017-03-07 |
| 1518329903 | Marissa Evarts | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Pcom, Philadelphia, PA 19131-1626 | 2016-03-24 |
| 1104288042 | Jessica Mormando | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Philadelphia, PA 19131 | 2016-03-21 |
| 1548653850 | Ryan Stephenson | Otolaryngology | 4190 City Avenue, Philadelphia College of Osteopathic Medicine, Philadelphia, PA 19131 | 2015-03-11 |
| 1770909608 | Douglas Patrick Rheam | Student in an Organized Health Care Education/Training Program | 4190 City Avenue, Pcom, Philadelphia, PA 19131 | 2014-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on 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.