1871550228 NPI number — HSI-PIN CHEN MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871550228 NPI number — HSI-PIN CHEN MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

CHEN

Provider First Name:

HSI-PIN

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1871550228

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/17/2016

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

51 PERFORMANCE DR

Provider Second Line Business Mailing Address:

ENTRY 2

Provider Business Mailing Address City Name:

WEYMOUTH

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

02189-3141

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

781-682-8000

Provider Business Mailing Address Fax Number:

781-335-1412

Provider First Line Business Practice Location Address:

51 PERFORMANCE DR

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

WEYMOUTH

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

02189-3104

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

781-682-8000

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

04/28/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207V00000X , with the licence number:  207719 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 042297845 . This is a "HDVM/FIRST HEALTH/COVENTY" identifier . This identifiers is of the category "OTHER".
• Identifier: AA37867 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 042297845 . This is a "GIC/UNICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 042297845 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: J22610 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0020527 . This is a "NHP" identifier . This identifiers is of the category "OTHER".
• Identifier: 0020527 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0101770 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 207719 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 207719 . This is a "TUFTS MEDICARE PREFERRED" identifier . This identifiers is of the category "OTHER".
• Identifier: 7149356 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 042297845 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1016984 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
• Identifier: 8952030 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".