Active NPIIndividual providerSole proprietor

Dr. Mira Y Chalet, MD

Pediatrics in Hackensack, New Jersey

NPI Number1124559497
Practice location
177 Summit Ave, Hackensack, NJ 07601-1311
Fax
201-487-2126
Last updated
June 3, 2020

Mira Yazigi Chalet is a Pediatrics based in Hackensack, NJ. Mira Yazigi Chalet practices in Hackensack, NJ and has the professional credentials of MD. The NPI Number for Mira Yazigi Chalet is 1124559497 and holds a License No. 25MA10833700 (NJ). The current practice location address for Mira Yazigi Chalet is 177 Summit Ave, Hackensack, NJ 07601-1311 and can be reached out via phone at 201-487-8222 and via fax at 201-487-2126.

Provider Profile Details

NPI Number
1124559497
Provider Name
Mira Yazigi Chalet
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
177 Summit Ave, Hackensack, NJ 07601-1311
Phone Number
201-487-8222
Fax Number
201-487-2126
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Other Names
Mira Yazigi, MD (Former Name)
Provider Enumeration Date
March 27, 2017
Last Update Date
June 3, 2020
Certification Date
June 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
177 Summit Ave
Hackensack, NJ 07601-1311
Zip
07601-1311
Phone Number
201-487-8222
Fax Number
201-487-2126
Hackensack, NJ 07601Get directions →

Provider Business Mailing Address Details

Address
32 Weaver St
Little Falls, NJ 07424-1046
City
Little Falls
State
NJ
Zip
07424-1046
Phone Number
973-452-5085

License Information

License State (1)
NJ
License Number (2)
25MA10833700
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mira Y Chalet, MD?

The NPI number of Dr. Mira Y Chalet, MD is 1124559497. It was assigned on March 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Mira Y Chalet, MD?

Dr. Mira Y Chalet, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA10833700.

Where does Dr. Mira Y Chalet, MD practice?

The practice location is 177 Summit Ave, Hackensack, NJ 07601-1311. The office can be reached at 201-487-8222 (phone) or 201-487-2126 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124559497 directly on the NPPES registry website.

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