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DR. JESSICA MON CHIN-TAN D.O.
NPI 1386922359
Family Medicine in Flushing, NY

Active since July 25, 2011PECOS Enrolled
14205 ROOSEVELT AVE UNIT 112, FLUSHING, NY 11354(646) 653-0889 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2022, Oct 5, 2020, Oct 3, 2020 and 4 more (7 updates tracked since 2016).

About Dr. Jessica Mon Chin-tan D.o. NPPES

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

DR. JESSICA MON CHIN-TAN D.O. (NPI 1386922359) is an individual family medicine provider in Flushing, New York, licensed in New York (274560) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in College Point, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2011).

NPPES Registry Identity

NPI1386922359
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JESSICA MON CHIN-TANCredential: D.O.
Location Address14205 ROOSEVELT AVE UNIT 112Flushing, NY 11354-1135
Mailing Address14205 Roosevelt Ave, Apt 112Flushing, NY 11354-6005 · (917) 903-9469 · Fax (646) 846-3283
Phone(646) 653-0889
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2011
Enumeration DateJuly 25, 2011
Last NPPES UpdateMay 5, 20227 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1386922359 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 · 274560
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.
14205 ROOSEVELT AVE UNIT 112, Flushing, NY 11354
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Secondary Practice Location 1

Location 113201 14th AveCollege Point, NY 11356-2044 · Phone (917) 285-2158

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Mon Chin-tan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658695580
PECOS Enrollment IDI20150123000468
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 Reassignments

3

Medicare enrollment records show Jessica Chin-tan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yun & Chin-Tan Physicians PLLC
Same address
Adult Medicine
14205 ROOSEVELT AVE APT 112
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1114680287 (718) 663-2179
City Medical Of Upper East Side, PLLC
0.1 mi
Urgent Care
13657 ROOSEVELT AVE
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 596 clinicians in this Medicare group
NPI 1831806314 (929) 476-0463
Optum Urgent Care, PLLC
15 mi
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group
NPI 1285975797 (516) 622-6000

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 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Jessica Chin-tan's NPI number?

The NPI number for Jessica Chin-tan is 1386922359. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Jessica Chin-tan located?

Jessica Chin-tan practices at 14205 Roosevelt Ave Unit 112, Flushing, NY 11354. The listed phone number is (646) 653-0889.

What is Jessica Chin-tan's specialty?

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

Is Jessica Chin-tan enrolled in Medicare?

Yes. Jessica Chin-tan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Chin-tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Chin-tan reassigns Medicare benefits to 3 organizations: Yun & Chin-Tan Physicians PLLC (Flushing, NY), City Medical Of Upper East Side, PLLC (Flushing, NY) and Optum Urgent Care, PLLC (Jericho, NY). Each 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 Jessica Chin-tan'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 Jessica Chin-tan was last updated on May 5, 2022. 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.