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

Dr. Edwin Kenneth Chan, MD

Individual provider Specialist · NPI 1982664611

Dr. Edwin Kenneth Chan, MD is an Otolaryngology in Flushing, New York. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2000, 26 years ago. Practices with Edwin K Chan MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13640 39th Ave Ste 6GB
Flushing, NY 11354-5536
Phone: (718) 321-8246
Fax: (718) 321-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 222486 (NY)

Record details

NPI number1982664611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2006
Last updated in NPPESFebruary 18, 2016
Mailing addressPo Box 2625, New York, NY 10009-8925

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Edwin K Chan Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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