IndividualActive
Jillian Chan, MD
NPI 1003159740 · Neurology Physician · Ronkonkoma, NY
Jillian Chan, MD is a Neurology Physician provider in Ronkonkoma, NY (NPI 1003159740).
Provider details
- NPI number
- 1003159740
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 292652 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366
Phone: (631) 737-0055
Fax: (631) 737-0076
Street-level locationGet directions
Mailing address
650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366
Registry dates
- Enumerated
- 2013-04-01
- Last updated
- 2018-10-06
Frequently asked questions
- What is Jillian Chan's NPI number?
- Jillian Chan's National Provider Identifier (NPI) is 1003159740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jillian Chan's specialty?
- Jillian Chan is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Jillian Chan located?
- Jillian Chan's practice location on file with NPPES is 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779-2366.
- What is Jillian Chan's phone number?
- The practice phone number listed in the NPPES registry for Jillian Chan is (631) 737-0055.
- Is Jillian Chan's NPI active?
- Yes — Jillian Chan's NPI (1003159740) is active in the NPPES registry as of the last update on 2018-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.