SIU-PUN CHAN MD
NPI 1396730693
Pediatrics - Pediatric Pulmonology in Staten Island, NY

Active since September 13, 2005PECOS Enrolled
584 FOREST AVE, STATEN ISLAND, NY 10310(718) 226-5613 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Siu-pun Chan Md NPPES

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

SIU-PUN CHAN MD (NPI 1396730693) is an individual pediatric pulmonology provider in Staten Island, New York, licensed in New York (183058) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396730693
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameSIU-PUN CHANCredential: MD
Location Address584 FOREST AVEStaten Island, NY 10310-2512
Mailing Address584 Forest AveStaten Island, NY 10310-2512 · (718) 226-5613
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1396730693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License Licensed in NY · 183058
Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

584 FOREST AVE, Staten Island, NY 10310

Other Identifiers 2

Medicare UPINF41735NY
Medicare ID-Type Unspecified06L812NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Siu-pun Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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

Internal Medicine
584 FOREST AVE
STATEN ISLAND, NY 10310
Pediatrics (Pediatric Endocrinology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Pediatrics (Pediatric Endocrinology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Pediatrics (Pediatric Nephrology)
584 FOREST AVE
STATEN ISLAND, NY 10310
Nurse Practitioner (Psychiatric/Mental Health)
584 FOREST AVE
STATEN ISLAND, NY 10310
Family Medicine
584 FOREST AVE
STATEN ISLAND, NY 10310
Clinic/Center
584 FOREST AVE
STATEN ISLAND, NY 10310
Psychologist
584 FOREST AVE
STATEN ISLAND, NY 10310

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 Siu-pun Chan's NPI number?

The NPI number for Siu-pun Chan is 1396730693. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Siu-pun Chan located?

Siu-pun Chan practices at 584 Forest Ave, Staten Island, NY 10310. The listed phone number is (718) 226-5613.

What is Siu-pun Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Siu-pun Chan enrolled in Medicare?

Yes. Siu-pun Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Siu-pun Chan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.