Active NPIIndividual provider

Chad M Deyoung, MD

Healthcare Provider in Ridgewood, New Jersey

NPI Number1225063456
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
201-252-8472
Last updated
August 8, 2014

Chad M Deyoung is a Healthcare Provider based in Ridgewood, NJ. Chad M Deyoung practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Chad M Deyoung is 1225063456 and holds a License No. Pending (NJ). The current practice location address for Chad M Deyoung is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-634-5403 and via fax at 201-252-8472.

Provider Profile Details

NPI Number
1225063456
Provider Name
Chad M Deyoung
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-634-5403
Fax Number
201-252-8472
Primary Taxonomy
Healthcare Provider · 2085R0001X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2006
Last Update Date
August 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-634-5403
Fax Number
201-252-8472
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
109 Wanaque Ave
Pompton Lakes, NJ 07442-2101
City
Pompton Lakes
State
NJ
Zip
07442-2101
Phone Number
862-666-9200
Fax Number
862-666-9204

License Information

License Number
Pending
License State
NJ
Taxonomy
· 2085R0001X · 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 Chad M Deyoung, MD?

The NPI number of Chad M Deyoung, MD is 1225063456. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Chad M Deyoung, MD?

Chad M Deyoung, MD is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in NJ under license number Pending.

Where does Chad M Deyoung, MD practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-634-5403 (phone) or 201-252-8472 (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 1225063456 directly on the NPPES registry website.

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