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NICKY CHAN MD
NPI 1154114809
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 27, 2025
450 CLARKSON AVENUE, EMERGENCY DEPARTMENT, BROOKLYN, NY 11203(718) 270-1000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicky Chan Md NPPES

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

NICKY CHAN MD (NPI 1154114809) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1154114809
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICKY CHANCredential: MD
Location Address450 CLARKSON AVENUE, EMERGENCY DEPARTMENTBrooklyn, NY 11203-2012
Mailing Address450 Clarkson Avenue, Emergency DepartmentBrooklyn, NY 11203-2012 · (718) 270-1000
Phone(718) 270-1000
Sole ProprietorNo
Enumeration DateMay 27, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1154114809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVENUE, Brooklyn, NY 11203
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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.

DR. EMAD ABDULLAH SHABANA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (718) 245-4799
MADELINE CLAIRE BREDA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, OBSTETRICS AND GYNECOLOGY
BROOKLYN, NY 11203
Kings County (718) 270-3320
DR. JOSHUA SALAMA MD
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF INTERNAL MEDICINE
BROOKLYN, NY 11203
Kings County (718) 270-2353
DIMPY MODY M.D.
Pediatrics
450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER, PEDIATRICS
BROOKLYN, NY 11203
Kings County (718) 270-2078
MR. XAVIER RAUL AGUAYO ARGUELLO M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE
BROOKLYN, NY 11203
Kings County (646) 323-4531
DANIEL GLOTSER DO
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, ANESTHESIOLOGY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 270-3764
DILBAGH SINGH
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, DEPARTMENT OF SURGERY
BROOKLYN, NY 11203
Kings County (718) 270-3302
ZAHID IMRAN
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVENUE, SUNY DOWNSTATE ( INTERNAL MEDICINE)
BROOKLYN, NY 11203
Kings County (718) 270-1566

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 Nicky Chan's NPI number?

The NPI number for Nicky Chan is 1154114809. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Nicky Chan located?

Nicky Chan practices at 450 Clarkson Avenue Emergency Department, Brooklyn, NY 11203. The listed phone number is (718) 270-1000.

What is Nicky Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicky Chan was last updated on May 27, 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.