Provider Demographics
NPI:1659016418
Name:CHEN, JOSEPHINE I (NP)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:I
Last Name:CHEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:I
Other - Last Name:CHEN-YING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4916 87TH ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3949
Mailing Address - Country:US
Mailing Address - Phone:973-216-1158
Mailing Address - Fax:
Practice Address - Street 1:4916 87TH ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3949
Practice Address - Country:US
Practice Address - Phone:973-216-1158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily