- Practice location
- 139 Centre St, Suite 307, New York, NY 10013-4552
- Phone
- 212-334-3507
- Fax
- 212-334-4728
- Last updated
- November 20, 2018
Jacqueline Chan is an Internal Medicine, Cardiovascular Disease based in New York, NY. Jacqueline Chan practices in New York, NY and has the professional credentials of MD. The NPI Number for Jacqueline Chan is 1992931299 and holds a License No. 246413 (NM). The current practice location address for Jacqueline Chan is 139 Centre St, Suite 307, New York, NY 10013-4552 and can be reached out via phone at 212-334-3507 and via fax at 212-334-4728.
Provider Profile Details
- NPI Number
- 1992931299
- Provider Name
- Jacqueline Chan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 139 Centre St, Suite 307, New York, NY 10013-4552
- Phone Number
- 212-334-3507
- Fax Number
- 212-334-4728
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2009
- Last Update Date
- November 20, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 139 Centre St
Suite 307
New York, NY 10013-4552 - City
- New York
- State
- New York
- Zip
- 10013-4552
- Phone Number
- 212-334-3507
- Fax Number
- 212-334-4728
Provider Business Mailing Address Details
- Address
- 139 Centre St
Suite 307
New York, NY 10013-4552 - City
- New York
- State
- NY
- Zip
- 10013-4552
- Phone Number
- 212-334-3507
- Fax Number
- 212-334-4728
License Information
- License Number (1)
- 246413
- License State (1)
- NM
- Taxonomy (1)
- Nuclear Medicine, Nuclear Imaging & Therapy · 207UN0902X
- License Number (2)
- 246413
- License State (2)
- NY
- Taxonomy (2)
- Internal Medicine, Adult Congenital Heart Disease · 207RA0002X
- License Number (3)
- 246413
- License State (3)
- NY
- Taxonomy (3)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · 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 Dr. Jacqueline Chan, MD?
The NPI number of Dr. Jacqueline Chan, MD is 1992931299. It was assigned on June 2, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacqueline Chan, MD?
Dr. Jacqueline Chan, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in NM under license number 246413.
Where does Dr. Jacqueline Chan, MD practice?
The practice location is 139 Centre St, Suite 307, New York, NY 10013-4552. The office can be reached at 212-334-3507 (phone) or 212-334-4728 (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 1992931299 directly on the NPPES registry website.