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KIMLONG CHAN
NPI 1093241143
Student in an Organized Health Care Education/Training Program in Astoria, NY

Active since May 11, 2017PECOS Enrolled
2320 31ST AVENUE, ASTORIA, NY 11106(631) 271-2491 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 6, 2025, May 11, 2017 (2 updates tracked since 2017).

About Kimlong Chan NPPES

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

KIMLONG CHAN (NPI 1093241143) is an individual student in an organized health care education/training program in Astoria, New York and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093241143
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIMLONG CHAN
Location Address2320 31ST AVENUEAstoria, NY 11106
Mailing Address520 S 7th StVincennes, IN 47591-1038
Phone(631) 271-2491
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1093241143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2320 31ST AVENUE, Astoria, NY 11106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimlong Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimlong Chan's NPI number?

The NPI number for Kimlong Chan is 1093241143. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Kimlong Chan located?

Kimlong Chan practices at 2320 31st Avenue, Astoria, NY 11106. The listed phone number is (631) 271-2491.

What is Kimlong Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimlong Chan enrolled in Medicare?

Yes. Kimlong Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimlong Chan was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.