Active NPIIndividual provider

Dr. Carla Chonillo, MD

Family Medicine in Englewood, New Jersey

NPI Number1235517228
Practice location
350 Engle St # 256, Englewood, NJ 07631-1808
Fax
—
Last updated
December 26, 2023

Carla Chonillo is a Family Medicine based in Englewood, NJ. Carla Chonillo practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Carla Chonillo is 1235517228 and holds a License No. 036147457 (IL). The current practice location address for Carla Chonillo is 350 Engle St # 256, Englewood, NJ 07631-1808 and can be reached out via phone at 201-894-3364.

Provider Profile Details

NPI Number
1235517228
Provider Name
Carla Chonillo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St # 256, Englewood, NJ 07631-1808
Phone Number
201-894-3364
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2015
Last Update Date
December 26, 2023
Certification Date
December 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St # 256
Englewood, NJ 07631-1808
Zip
07631-1808
Phone Number
201-894-3364
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
City
Long Grove
State
IL
Zip
60047-5292
Phone Number
847-719-2220
Fax Number
847-719-2265

License Information

License Number (1)
036147457
License State (1)
IL
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
036147457
License State (2)
IL
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
25MA11460100
License State (3)
NJ
Taxonomy (3)
Family Medicine · 207Q00000X · 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. Carla Chonillo, MD?

The NPI number of Dr. Carla Chonillo, MD is 1235517228. It was assigned on May 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Carla Chonillo, MD?

Dr. Carla Chonillo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in IL under license number 036147457.

Where does Dr. Carla Chonillo, MD practice?

The practice location is 350 Engle St # 256, Englewood, NJ 07631-1808. The office can be reached at 201-894-3364 (phone).

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 1235517228 directly on the NPPES registry website.

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