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

Dr. Jack Chan, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1376170522

Dr. Jack Chan, MD is an Anesthesiology in Newington, New Hampshire. Qualified in 2020, 6 years ago. Practices with Specialty Institute PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2020
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

101 Shattuck Way Ste 6
Newington, NH 03801-7876
Phone: (617) 372-4018
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 34672 (NH)

Record details

NPI number1376170522
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2020
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address101 Shattuck Way Ste 6, Newington, NH 03801-7876

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Specialty Institute Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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