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SUSENNA CHAN PA-C
NPI 1124913496
Physician Assistant in New York, NY

Active since June 09, 2025PECOS Enrolled
1300 YORK AVE, NEW YORK, NY 10065(212) 746-5454 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susenna Chan Pa-c NPPES

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

SUSENNA CHAN PA-C (NPI 1124913496) is an individual physician assistant in New York, New York and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124913496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSENNA CHANCredential: PA-C
Location Address1300 YORK AVENew York, NY 10065-4805
Mailing Address1549 W 4th StBrooklyn, NY 11204-4936 · (718) 514-5658
Phone(212) 746-5454
Sole ProprietorYes
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1124913496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1300 YORK AVE, New York, NY 10065
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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)

Susenna Chan Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALISON R SCHONBERGER M.D.
Radiology (Diagnostic Radiology)
1300 YORK AVE
NEW YORK, NY 10065
New York County (855) 880-0343
DR. XIAODUN YANG
Student in an Organized Health Care Education/Training Program
1300 YORK AVE
NEW YORK, NY 10065
New York County (212) 746-6464
TIM YIRAN LI
Student in an Organized Health Care Education/Training Program
1300 YORK AVE
NEW YORK, NY 10065
New York County (212) 746-5454
ALEXA MICHELLE MIHALE AUD
Audiologist
1300 YORK AVE
NEW YORK, NY 10065
New York County (646) 962-3681
ANTHONY ARMANDO PALILLO
Student in an Organized Health Care Education/Training Program
1300 YORK AVE
NEW YORK, NY 10065
New York County (212) 821-0850
MS. BALI CONNORS PA-C
Physician Assistant
1300 YORK AVE
NEW YORK, NY 10065
New York County (212) 746-0301
DR. BENJAMIN MONTEVERDE KLEAVELAND MD, PHD
Pathology (Clinical Pathology/Laboratory Medicine)
1300 YORK AVE
NEW YORK, NY 10065
New York County (646) 962-6409
DR. SAMANTHA DONOVAN MD
Student in an Organized Health Care Education/Training Program
1300 YORK AVE
NEW YORK, NY 10065
New York County (646) 962-2000

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 Susenna Chan's NPI number?

The NPI number for Susenna Chan is 1124913496. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Susenna Chan located?

Susenna Chan practices at 1300 York Ave, New York, NY 10065. The listed phone number is (212) 746-5454.

What is Susenna Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susenna Chan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susenna Chan was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.