Individual
DR. JONATHAN CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14015 SANFORD AVE, FLUSHING, NY 11355-2686
(718) 670-6400
(718) 663-5008
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00669
MEDICARE GRP
NY
05
—
01752345
—
NY
01
—
G400001981
MEDICARE PTAN
NY
Enumeration date
06/09/2006
Last updated
09/16/2025
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