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Jolina Jiaying Chen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

5604 7th Ave Ste 1, Brooklyn, NY 11220-4660

PECOS Enrollment

This provider is enrolled in PECOS as JOLINA CHEN.

Based on the most recent information from CMS, provider Jolina Jiaying Chen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1477254993
Provider Type
Individual
Full Name
Chen, Jolina Jiaying
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/13/2023
Last Updated
3/13/2023

Contact Information

Practice Location

5604 7th Ave Ste 1, Brooklyn, NY 11220-4660

(917) 508-5888

Unlisted Fax

Mailing Location

1430 Bergen St Apt 1i, Brooklyn, NY 11213-1645

(718) 772-1048

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 029745 New York

Jolina Jiaying Chen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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