Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christina Chan, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1720321722

Christina Chan, NURSEPRACTITIONER is a Nurse Practitioner in Northport, New York. Qualified in 2012, 14 years ago. Practices with North Shore-Lij Medical Group PC, a 31-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2013

Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 882-3487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 30 306171 (NY)

Record details

NPI number1720321722
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 28, 2013
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Shore-Lij Medical Group Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northport