JUHYUN LISA CHAN P.A.
NPI 1205194057
Physician Assistant - Medical in Staten Island, NY

Q: What is Juhyun Chan's NPI number?

The NPI number for Juhyun Chan is 1205194057. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Q: What is Juhyun Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Juhyun Chan was last updated on January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9158(718) 226-6964 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Juhyun Lisa Chan P.a. NPPES

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

JUHYUN LISA CHAN P.A. (NPI 1205194057) is an individual medical provider in Staten Island, New York, licensed in New York (006335) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1205194057

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJUHYUN LISA CHANCredential: P.A.

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address4 Airdale DrKendall Park, NJ 08824-1494

Phone(718) 226-9158

Fax(718) 226-6964

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateApril 30, 2012

Last NPPES UpdateJanuary 25, 2013

✔ NPI 1205194057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 006335✔ Licensed in NJ · 25MP00050600

475 SEAVIEW AVE, Staten Island, NY 10305

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Other Identifiers 2

Medicaid01991840NY

Medicare PINA400074743NY

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

Juhyun Lisa Chan P.a. 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 ID4880842103

PECOS Enrollment IDI20120912000023

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

116 services112 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services69 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

52 services50 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

27 services27 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

LOURDES BONDOC MD

Anesthesiology