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YUN & CHIN-TAN PHYSICIANS PLLC
NPI 1114680287
Family Medicine - Adult Medicine in Flushing, NY

Active since October 15, 2021CLIA 33D2255837 · Waiver
14205 ROOSEVELT AVE APT 112, FLUSHING, NY 11354(718) 663-2179(631) 684-2401 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Oct 15, 2021 (2 updates tracked since 2021).

About Yun & Chin-tan Physicians Pllc NPPES

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

YUN & CHIN-TAN PHYSICIANS PLLC (NPI 1114680287) is a healthcare organization registered as an adult medicine in Flushing, New York and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Jessica Chin-tan, Physician, as its authorized official.

NPPES Registry Identity

NPI1114680287
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameYUN & CHIN-TAN PHYSICIANS PLLC
Location Address14205 ROOSEVELT AVE APT 112Flushing, NY 11354-6005
Mailing Address14205 Roosevelt Ave Apt 112Flushing, NY 11354-6005 · (718) 663-2179 · Fax (631) 684-2401
Phone(718) 663-2179
Fax(631) 684-2401
Organization SubpartNo
Authorized OfficialJessica Chin-tanPhysician · (718) 663-2179
Enumeration DateOctober 15, 2021
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1114680287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
14205 ROOSEVELT AVE APT 112, Flushing, NY 11354
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Other Identifiers 2

Other1386922359NY · Npi
Other1154679090NY · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D2255837

Yun & Chin-Tan Physicians PLLC · Flushing, NY
Active · expires Mar 16, 2028
CLIA Number33D2255837
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDavid K. Yun
Laboratory Phone(718) 663-2179
Laboratory LocationYun & Chin-Tan Physicians PLLC136-20 38th Avenue Suite 6I, Flushing, NY 11354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

YUN & CHIN-TAN PHYSICIANS PLLC
Family Medicine
14205 ROOSEVELT AVE APT 112
FLUSHING, NY 11354
Queens County (718) 663-2179

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 Yun & Chin-Tan Physicians PLLC's NPI number?

The NPI number for Yun & Chin-Tan Physicians PLLC is 1114680287. It was assigned to this organization in the NPPES registry on October 15, 2021.

Where is Yun & Chin-Tan Physicians PLLC located?

Yun & Chin-Tan Physicians PLLC is located at 14205 Roosevelt Ave Apt 112, Flushing, NY 11354. The listed phone number is (718) 663-2179.

What is Yun & Chin-Tan Physicians PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Yun & Chin-Tan Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2255837) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Yun & Chin-Tan Physicians PLLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.