Active NPIIndividual providerSole proprietor

Dr. Kelly Chin, MD

Internal Medicine, Gastroenterology in Brooklyn, New York

NPI Number1922028067
Practice location
829 57TH St, 2ND Floor, Brooklyn, NY 11220-3617
Fax
718-871-0062
Last updated
March 11, 2025

Kelly Chin is an Internal Medicine, Gastroenterology based in Brooklyn, NY. Kelly Chin practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Kelly Chin is 1922028067 and holds a License No. 195950 (NY). The current practice location address for Kelly Chin is 829 57TH St, 2ND Floor, Brooklyn, NY 11220-3617 and can be reached out via phone at 718-871-2511 and via fax at 718-871-0062.

Provider Profile Details

NPI Number
1922028067
Provider Name
Kelly Chin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
829 57TH St, 2ND Floor, Brooklyn, NY 11220-3617
Phone Number
718-871-2511
Fax Number
718-871-0062
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2006
Last Update Date
March 11, 2025
Certification Date
March 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
829 57TH St
2ND Floor
Brooklyn, NY 11220-3617
Zip
11220-3617
Phone Number
718-871-2511
Fax Number
718-871-0062
Brooklyn, NY 11220Get directions →

Provider Business Mailing Address Details

Address
93 Brown Cir
Paramus, NJ 07652-5203
City
Paramus
State
NJ
Zip
07652-5203
Phone Number
718-871-2511

License Information

License Number (1)
195950
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X
License Number (2)
195950
License State (2)
NY
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kelly Chin, MD?

The NPI number of Dr. Kelly Chin, MD is 1922028067. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kelly Chin, MD?

Dr. Kelly Chin, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NY under license number 195950.

Where does Dr. Kelly Chin, MD practice?

The practice location is 829 57TH St, 2ND Floor, Brooklyn, NY 11220-3617. The office can be reached at 718-871-2511 (phone) or 718-871-0062 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922028067 directly on the NPPES registry website.

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