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EDWIN K CHAN MD PC
NPI 1710113949
Specialist in Flushing, NY

Active since June 02, 2009
13640 39TH AVE, STE 6GB, FLUSHING, NY 11354(718) 321-8246(718) 321-8273 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edwin K Chan Md Pc NPPES

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

EDWIN K CHAN MD PC (NPI 1710113949) is a healthcare organization registered as a specialist in Flushing, New York and active in the NPI registry since June 2009. The organization lists Emily Lam, Billing, as its authorized official.

NPPES Registry Identity

NPI1710113949
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEDWIN K CHAN MD PC
Location Address13640 39TH AVE, STE 6GBFlushing, NY 11354-5536
Mailing AddressPo Box 2625New York, NY 10009-8925 · (718) 321-8246
Phone(718) 321-8246
Fax(718) 321-8273
Organization SubpartNo
Authorized OfficialEmily LamBilling · (718) 321-8246
Enumeration DateJune 2, 2009
Last NPPES UpdateOctober 19, 2015
✔ NPI 1710113949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 222486
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13640 39TH AVE, Flushing, NY 11354
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin K Chan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Edwin K Chan MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Edwin Chan, M.D.
Otolaryngology
NPI 1982664611
13640 39TH AVE SUITE 6GB
Flushing, NY 11354
(718) 321-8246
✔ PECOS✔ Accepts MedicareSame address
Koli Eckert, NP-C
Nurse Practitioner
NPI 1285235432
13640 39TH AVE STE 6GB
Flushing, NY 11354
(718) 321-8246
✔ PECOS✔ Accepts MedicareSame address
Kai Zhang, FNP
Family Practice
NPI 1366737314
13443 MAPLE AVE STE C1D
Flushing, NY 11355
(718) 886-7588
✔ PECOS✔ Accepts Medicare0.4 mi
Anne Cheung
Nurse Practitioner
NPI 1053190157
462 1ST AVE
New York, NY 10016
(212) 562-4141
✔ PECOS✔ Accepts Medicare7.9 mi
Katherine Vygon
Nurse Practitioner
NPI 1639623234
40 W BRIGHTON AVE STE 103
Brooklyn, NY 11224
(718) 996-2260
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Edwin K Chan MD PC's NPI number?

The NPI number for Edwin K Chan MD PC is 1710113949. It was assigned to this organization in the NPPES registry on June 2, 2009.

Where is Edwin K Chan MD PC located?

Edwin K Chan MD PC is located at 13640 39th Ave Ste 6gb, Flushing, NY 11354. The listed phone number is (718) 321-8246.

What is Edwin K Chan MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edwin K Chan MD PC enrolled in Medicare?

Yes. Edwin K Chan MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edwin K Chan MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Edwin K Chan MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Otolaryngology (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edwin K Chan MD PC was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.