JUHYUN LISA CHAN P.A. NPI 1205194057

NPI Information

NPI: 1205194057
Provider Name: JUHYUN LISA CHAN, P.A.
Classification: Physician Assistant - 363AM0700X
Specialization: Medical
Entity Type: Individual
PECOS Registration: Yes
Address: 475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305
Phone: (718) 226-9158

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NPI Details

Juhyun Lisa Chan, P.A. is a medical physician assistant in Staten Island, NY with 30 years of experience. Juhyun Lisa Chan, P.A. NPI is 1205194057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-436
Phone: (718) 226-9158
Fax: (718) 226-6964

The NPI 1205194057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
X-ray of chest, 2 views (HCPCS:71046)
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
Automated urinalysis test (HCPCS:81003)
Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)

The enumeration date for this NPI number is 4/30/2012 and was last updated on 1/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	25MP00050600	NEW JERSEY	No
2	363AM0700X	Physician Assistant	Medical	006335	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01991840	MEDICAID	NEW YORK
2	A400074743	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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