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PHOENIX LAU CHAN DO
NPI 1174015366
Student in an Organized Health Care Education/Training Program in Stratford, NJ

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
42 E LAUREL RD STE 2100A, STRATFORD, NJ 08084(856) 566-6477 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Lau Chan Do NPPES

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

PHOENIX LAU CHAN DO (NPI 1174015366) is an individual student in an organized health care education/training program in Stratford, New Jersey and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1174015366
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePHOENIX LAU CHANCredential: DO
Location Address42 E LAUREL RD STE 2100AStratford, NJ 08084-1354
Mailing Address42 E Laurel Rd Ste 2100aStratford, NJ 08084-1354
Phone(856) 566-6477
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateDecember 20, 2021
✔ NPI 1174015366 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.
42 E LAUREL RD STE 2100A, Stratford, NJ 08084
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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 and accepts Medicare assignment

Phoenix Lau Chan Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800294760
PECOS Enrollment IDI20211006002054
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.

Other Providers at the Same Location NPPES 6

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

SHUVO ROY
Family Medicine
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (856) 566-6477
DR. ARJUN LAXMINARAYAN CHARI DO
Student in an Organized Health Care Education/Training Program
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (856) 566-6477
LEMUEL FIGUEROA DO
Family Medicine
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (856) 566-6477
DR. MONIKA MELISSA SZELIGA DO
Student in an Organized Health Care Education/Training Program
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (856) 566-2753
VARUN K GARA
Student in an Organized Health Care Education/Training Program
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (718) 419-4311
THOMAS JOHN MORGAN DO
Student in an Organized Health Care Education/Training Program
42 E LAUREL RD STE 2100A
STRATFORD, NJ 08084
Camden County (856) 566-7020

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 Phoenix Chan's NPI number?

The NPI number for Phoenix Chan is 1174015366. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Phoenix Chan located?

Phoenix Chan practices at 42 E Laurel Rd Ste 2100A, Stratford, NJ 08084. The listed phone number is (856) 566-6477.

What is Phoenix Chan's specialty?

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

Is Phoenix Chan enrolled in Medicare?

Yes. Phoenix Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phoenix Chan was last updated on December 20, 2021. 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.