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DR. JILLIAN K CHAN MD
NPI 1003159740
Psychiatry & Neurology - Neurology in Ronkonkoma, NY

Active since April 01, 2013
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779(631) 737-0055(631) 737-0076 Get Directions Write a Review

NPPES record last updated: October 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2018, Jul 10, 2018 (2 updates tracked since 2018).

About Dr. Jillian K Chan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILLIAN K CHAN MD (NPI 1003159740) is an individual neurology provider in Ronkonkoma, New York, licensed in New York (292652) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1003159740
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JILLIAN K CHANCredential: MD
Location Address650 HAWKINS AVE STE 7Ronkonkoma, NY 11779-2366
Mailing Address650 Hawkins Ave Ste 7Ronkonkoma, NY 11779-2366 · (631) 737-0055 · Fax (631) 737-0076
Phone(631) 737-0055
Fax(631) 737-0076
Sole ProprietorNo
Enumeration DateApril 1, 2013
Last NPPES UpdateOctober 6, 20182 updates tracked since enumeration
✔ NPI 1003159740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 292652
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

650 HAWKINS AVE STE 7, Ronkonkoma, NY 11779
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUN AH HELMS PA-C
Psychiatry & Neurology (Neurology)
650 HAWKINS AVE STE 7
RONKONKOMA, NY 11779
Suffolk County (631) 737-0055
ALICIA ANDERSON
Physician Assistant
650 HAWKINS AVE STE 7
RONKONKOMA, NY 11779
Suffolk County (631) 737-0055
MS. CARINNE NICOLE CARDONA FNP
Nurse Practitioner (Family)
650 HAWKINS AVE STE 7
RONKONKOMA, NY 11779
Suffolk County (631) 737-0055
AMANDA MARIE MEYERRICKS PA-C
Physician Assistant
650 HAWKINS AVE STE 7
RONKONKOMA, NY 11779
Suffolk County (631) 737-0055

Frequently Asked Questions

What is Jillian Chan's NPI number?

The NPI number assigned to this healthcare provider is 1003159740, enumerated as an "individual" on April 01, 2013.

Where is the provider located?

The provider is located at 650 HAWKINS AVE STE 7 RONKONKOMA, NY 11779 and the phone number is (631) 737-0055.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.