Individual provider

Juhyun Chan, P.A.

Medical Physician Assistant Medicare enrolled

Juhyun Chan, P.A. is a Medical Physician Assistant in Staten Island, NY, registered under NPI 1205194057. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 475 SEAVIEW AVE, Staten Island, NY 10305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

475 SEAVIEW AVE, Staten Island, NY 10305 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
006335 NY Medical Physician Assistant primary
25MP00050600 NJ Medical Physician Assistant

Licences are recorded in 2 states: NY, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4880842103

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New Jersey and New York. The practice address on file is in Staten Island, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NJ New Jersey
Licence
25MP00050600
Specialty
Medical Physician Assistant
Verify with the NJ board →
NY New York practice address
Licence
006335
Specialty
Medical Physician Assistant
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical 006335 NY primary
363AM0700X Medical Physician Assistant Medical 25MP00050600 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205194057 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 30, 2012
Last updatedJan 25, 2013
StatusActive
Sole proprietorYes
CredentialP.A.
Practice address 475 SEAVIEW AVE
Staten Island, NY 10305
(718) 226-9158
Fax (718) 226-6964
Mailing address 4 AIRDALE DR
Kendall Park, NJ 08824
Other identifiers 01991840 (NY)
This record was last updated on Jan 25, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1205194057 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 1 9 4 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 2 9 8 0 1

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205194057?
NPI 1205194057 is the National Provider Identifier assigned to Juhyun Chan, P.A. in Staten Island, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Juhyun Chan, P.A.?
The phone number on file with NPPES is (718) 226-9158, last updated Jan 25, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Juhyun Chan, P.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205194057 a valid number?
Yes. 1205194057 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.