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

Individual provider Physician Assistant · NPI 1962065979

Corey Chan, PA-C is a Physician Assistant in Ridgewood, New Jersey. Qualified in 2020, 6 years ago. Practices with White Plains Physician Services PC, a 384-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

550 Lynn St
Ridgewood, NJ 07450
Phone: (201) 602-2945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026226 (NY)

Record details

NPI number1962065979
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 16, 2019
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address550 Lynn St, Ridgewood, NJ 07450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice White Plains Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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