DR. JOSHUA ISAO CHAN MD
NPI 1124556808
Pediatrics - Pediatric Hematology-Oncology in Mineola, NY

Q: What is Joshua Chan's NPI number?

The NPI number for Joshua Chan is 1124556808. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Q: What is Joshua Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Chan was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 25, 2017PECOS Enrolled

120 MINEOLA BLVD STE 460, MINEOLA, NY 11501(516) 663-9400 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2023, Nov 9, 2022, May 25, 2017 (3 updates tracked since 2017).

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About Dr. Joshua Isao Chan Md NPPES

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

DR. JOSHUA ISAO CHAN MD (NPI 1124556808) is an individual pediatric hematology-oncology provider in Mineola, New York, licensed in New York (305721) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124556808

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. JOSHUA ISAO CHANCredential: MD

Location Address120 MINEOLA BLVD STE 460Mineola, NY 11501-4067

Mailing Address120 Mineola Blvd Ste 460Mineola, NY 11501-4067 · (516) 663-9400

Phone(516) 663-9400

Sole ProprietorYes

Enumeration DateMay 25, 2017

Last NPPES UpdateJanuary 31, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2024

✔ NPI 1124556808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in NY · 305721

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

120 MINEOLA BLVD STE 460, Mineola, NY 11501

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Secondary Practice Locations 2

Location 1160 E 32nd St Fl 3New York, NY 10016-6004 · Phone (212) 263-8400 · Fax (212) 263-8410

Location 2259 1st StMineola, NY 11501-3957 · Phone (516) 663-8443 · Fax (516) 663-8955

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joshua Isao Chan Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University

1,045 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
7,712 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SYLWIA JASINSKI M.D.

Pediatrics (Pediatric Hematology-Oncology)

120 MINEOLA BLVD STE 460
MINEOLA, NY 11501

Nassau County (516) 663-9400

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 Joshua Chan's NPI number?

The NPI number for Joshua Chan is 1124556808. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Joshua Chan located?

Joshua Chan practices at 120 Mineola Blvd Ste 460, Mineola, NY 11501. The listed phone number is (516) 663-9400.

What is Joshua Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Joshua Chan enrolled in Medicare?

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

Which organization bills Medicare for Joshua Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Chan reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joshua Chan was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.