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TIMOTHY CHAN PA-C
NPI 1669015053
Physician Assistant - Medical in Flushing, NY

Active since October 18, 2019PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(718) 670-2000 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Chan Pa-c NPPES

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

TIMOTHY CHAN PA-C (NPI 1669015053) is an individual medical provider in Flushing, New York and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669015053
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY CHANCredential: PA-C
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing Address10 Yorkshire RdNew Hyde Park, NY 11040-3612 · (917) 502-6646
Phone(718) 670-2000
Sole ProprietorNo
Enumeration DateOctober 18, 2019
✔ NPI 1669015053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
5645 MAIN ST, Flushing, NY 11355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Chan Pa-c 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 20

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

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Timothy Chan's NPI number?

The NPI number for Timothy Chan is 1669015053. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is Timothy Chan located?

Timothy Chan practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-2000.

What is Timothy Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Chan enrolled in Medicare?

Yes. Timothy Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Chan was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.