JIMMY CHAN MD PLLC
NPI 1093513467
Orthopaedic Surgery in New York, NY
NPI Status: Active since March 03, 2025
Contact Information
130 E 77TH ST FL HALL7
NEW YORK, NY
ZIP 10075
Phone: (914) 471-0667
- Organization
- Orthopaedic Surgery
- CLIA Number: 33D2329349
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-26-2027
About JIMMY CHAN MD PLLC
This page provides the complete NPI Profile along with additional information for Jimmy Chan Md Pllc, a provider established in New York, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1093513467 assigned on March 2025. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jimmy Chan Md (Member)
- NPI
- 1093513467
- Provider Name
- JIMMY CHAN MD PLLC
- Entity Type
- Organization
- Location Address
- 130 E 77TH ST FL HALL7 NEW YORK, NY 10075
- Location Phone
- (914) 471-0667
- Mailing Address
- 656 CENTRAL PARK AVE # 168 SCARSDALE, NY 10583
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2025
- Last Update Date
- 03-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2329349
- Facility Type
- Physician Office
- Certificate Effective Date
- August 27, 2025
- Certificate Expiration Date
- August 26, 2027
- Laboratory Director
- JIMMY CHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jimmy Chan Md Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093513467, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093513467, enumerated as an "organization" on March 03, 2025.
The provider is located at 130 E 77TH ST FL HALL7 NEW YORK, NY 10075 and the phone number is (914) 471-0667.
Orthopaedic Surgery with taxonomy code 207X00000X.
