DR. JACQUELINE CHAN MD NPI 1992931299

NPI Information

  • NPI: 1992931299
  • Provider Name: DR. JACQUELINE CHAN, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 139 CENTRE ST
    SUITE 307
    NEW YORK, NY
    ZIP 10013
  • Phone: (212) 334-3507

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NPI Details

DR. Jacqueline Chan, MD is a cardiovascular disease internal medicine in New York, NY with 22 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jacqueline Chan, MD NPI is 1992931299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2004

The provider's business location address is:

139 CENTRE ST
SUITE 307
NEW YORK, NY
ZIP 10013-552
Phone: (212) 334-3507
Fax: (212) 334-4728

The NPI 1992931299 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.

  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries (HCPCS:A9555)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress (HCPCS:78492)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Thallium tl-201 thallous chloride, diagnostic, per millicurie (HCPCS:A9505)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, dobutamine hydrochloride, per 250 mg (HCPCS:J1250)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 6/2/2009 and was last updated on 11/20/2018.

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
1207UN0902XNuclear MedicineNuclear Imaging & Therapy246413NEW MEXICONo
2207RA0002XInternal MedicineAdult Congenital Heart Disease246413NEW YORKNo
3207RC0000XInternal MedicineCardiovascular Disease246413NEW YORKYes

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
103350121MEDICAIDNEW 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: 11/21/2025

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