JIMMY CHAN MD PLLC
NPI 1093513467
Orthopaedic Surgery in New York, NY

Active since March 03, 2025CLIA 33D2329349 · Waiver
130 E 77TH ST FL HALL7, NEW YORK, NY 10075(914) 471-0667 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy Chan Md Pllc NPPES

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

JIMMY CHAN MD PLLC (NPI 1093513467) is a healthcare organization registered as an orthopaedic surgery in New York, New York and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Jimmy Chan, Member, as its authorized official.

NPPES Registry Identity

NPI1093513467
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJIMMY CHAN MD PLLC
Location Address130 E 77TH ST FL HALL7New York, NY 10075-1851
Mailing Address656 Central Park Ave # 168Scarsdale, NY 10583-2512
Organization SubpartNo
Authorized OfficialJimmy ChanMember · (914) 471-0667
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1093513467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
130 E 77TH ST FL HALL7, New York, NY 10075

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2329349

Jimmy Chan MD PLLC · Flushing, NY
Active · expires Aug 26, 2027
CLIA Number33D2329349
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorJimmy Chan
Laboratory Phone(914) 471-0667
Laboratory LocationJimmy Chan MD PLLC38-08 Union Street, Suite 6B, Flushing, NY 11354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Jimmy Chan MD PLLC's NPI number?

The NPI number for Jimmy Chan MD PLLC is 1093513467. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is Jimmy Chan MD PLLC located?

Jimmy Chan MD PLLC is located at 130 E 77th St Fl Hall7, New York, NY 10075. The listed phone number is (914) 471-0667.

What is Jimmy Chan MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Jimmy Chan MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2329349) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jimmy Chan MD PLLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.