DR. JUSTIN CHEN DO
NPI 1245974146
Family Medicine in New Hyde Park, NY

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
1 DAKOTA DR, NEW HYDE PARK, NY 11042(516) 622-6020(516) 622-6021 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Justin Chen Do NPPES

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

DR. JUSTIN CHEN DO (NPI 1245974146) is an individual family medicine provider in New Hyde Park, New York, licensed in New York (336249) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245974146
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JUSTIN CHENCredential: DO
Location Address1 DAKOTA DRNew Hyde Park, NY 11042-1135
Mailing Address1 Dakota DrNew Hyde Park, NY 11042-1135 · (516) 622-6020 · Fax (516) 622-6021
Fax(516) 622-6021
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2022
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1245974146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 336249
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 DAKOTA DR, New Hyde Park, NY 11042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Chen 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 ID3779082052
PECOS Enrollment IDI20250814002721
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 Justin Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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 15

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

Radiology (Diagnostic Radiology)
1 DAKOTA DR
NEW HYDE PARK, NY 11042
Family Medicine
1 DAKOTA DR
NEW HYDE PARK, NY 11042
Internal Medicine
1 DAKOTA DR
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
1 DAKOTA DR
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
1 DAKOTA DR
NEW HYDE PARK, NY 11042
Internal Medicine (Gastroenterology)
1 DAKOTA DR, SUITE 310
NEW HYDE PARK, NY 11042
Physician Assistant
1 DAKOTA DR, SUITE 200
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
1 DAKOTA DR
NEW HYDE PARK, NY 11042

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 Justin Chen's NPI number?

The NPI number for Justin Chen is 1245974146. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Justin Chen located?

Justin Chen practices at 1 Dakota Dr, New Hyde Park, NY 11042. The listed phone number is (516) 622-6020.

What is Justin Chen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Chen enrolled in Medicare?

Yes. Justin Chen 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.

Which organization bills Medicare for Justin Chen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Chen reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). 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 Justin Chen'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 Justin Chen was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.