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DR. KEVIN J CHAN MD
NPI 1609981786
Pediatrics in Boston, MA

Active since August 20, 2006
300 LONGWOOD AVE, MAIN 1S, BOSTON, MA 02115(617) 355-6624 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin J Chan Md NPPES

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

DR. KEVIN J CHAN MD (NPI 1609981786) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (223203) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1609981786
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEVIN J CHANCredential: MD
Location Address300 LONGWOOD AVE, MAIN 1SBoston, MA 02115-5724
Mailing Address375 Walden St, Apt #2Cambridge, MA 02138-1348 · (617) 547-5180
Phone(617) 355-6624
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609981786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 223203
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 LONGWOOD AVE, Boston, MA 02115
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Other Identifiers 1

Medicaid2115522MA

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Kevin Chan's NPI number?

The NPI number for Kevin Chan is 1609981786. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Kevin Chan located?

Kevin Chan practices at 300 Longwood Ave Main 1S, Boston, MA 02115. The listed phone number is (617) 355-6624.

What is Kevin Chan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kevin Chan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.