DR. ENOCH CHUNG CHAN MD
NPI 1356309603
Internal Medicine in Bohemia, NY

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1461 LAKELAND AVE UNIT 14, BOHEMIA, NY 11716(631) 218-8800(631) 218-8801 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Enoch Chung Chan Md NPPES

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

DR. ENOCH CHUNG CHAN MD (NPI 1356309603) is an individual internal medicine provider in Bohemia, New York, licensed in New York (200300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1993).

NPPES Registry Identity

NPI1356309603
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ENOCH CHUNG CHANCredential: MD
Location Address1461 LAKELAND AVE UNIT 14Bohemia, NY 11716-2174
Mailing Address1461 Lakeland Ave Unit 14Bohemia, NY 11716-2174 · (631) 218-8800 · Fax (631) 218-8801
Fax(631) 218-8801
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1993
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 28, 2008
NPI 1356309603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 200300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1461 LAKELAND AVE UNIT 14, Bohemia, NY 11716

Other Identifiers 5

Medicare UPING62711NY
Medicaid01837470NY
Other1356309603NY · United Healthcare
Medicare PINWTW191NY
Medicare ID-Type Unspecified068AM1NY

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

Dr. Enoch Chung Chan Md 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 ID3678558038
PECOS Enrollment IDI20040621000604
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 11716 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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 2

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

Internal Medicine
1461 LAKELAND AVE UNIT 14
BOHEMIA, NY 11716
Internal Medicine
1461 LAKELAND AVE UNIT 14
BOHEMIA, NY 11716

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 Enoch Chan's NPI number?

The NPI number for Enoch Chan is 1356309603. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Enoch Chan located?

Enoch Chan practices at 1461 Lakeland Ave Unit 14, Bohemia, NY 11716. The listed phone number is (631) 218-8800.

What is Enoch Chan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Enoch Chan enrolled in Medicare?

Yes. Enoch 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 Enoch Chan was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.