Corey Chan, PA-C
Physician Assistant in Ridgewood, New Jersey
1962065979- Practice location
- 550 Lynn St, Ridgewood, NJ 07450
- Phone
- 201-602-2945
- Fax
- —
- Last updated
- September 29, 2022
Corey Chan is a Physician Assistant based in Ridgewood, NJ. Corey Chan practices in Ridgewood, NJ and has the professional credentials of PA-C. The NPI Number for Corey Chan is 1962065979 and holds a License No. 026226 (NY). The current practice location address for Corey Chan is 550 Lynn St, Ridgewood, NJ 07450 and can be reached out via phone at 201-602-2945.
Provider Profile Details
- NPI Number
- 1962065979
- Provider Name
- Corey Chan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 550 Lynn St, Ridgewood, NJ 07450
- Phone Number
- 201-602-2945
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 16, 2019
- Last Update Date
- September 29, 2022
- Certification Date
- September 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 Lynn St
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450
- Phone Number
- 201-602-2945
Provider Business Mailing Address Details
- Address
- 550 Lynn St
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- NJ
- Zip
- 07450
- Phone Number
- 201-602-2945
License Information
- License Number
- 026226
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Corey Chan, PA-C?
The NPI number of Corey Chan, PA-C is 1962065979. It was assigned on April 16, 2019 and is currently active in the NPPES registry.
What is the specialty of Corey Chan, PA-C?
Corey Chan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 026226.
Where does Corey Chan, PA-C practice?
The practice location is 550 Lynn St, Ridgewood, NJ 07450. The office can be reached at 201-602-2945 (phone).
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 1962065979 directly on the NPPES registry website.