Active NPIOrganization

Chase Medical Group, PC

Internal Medicine in Fair Lawn, New Jersey

NPI Number1417150293
Practice location
19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331
Fax
201-791-2589
Last updated
January 15, 2013

Chase Medical Group, PC is a healthcare organization based in Fair Lawn, NJ. Chase Medical Group, PC practices in Fair Lawn, NJ. The NPI Number for Chase Medical Group, PC is 1417150293 and holds a License No. MA69109 (NJ). The current practice location address for Chase Medical Group, PC is 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331 and can be reached out via phone at 201-791-8689 and via fax at 201-791-2589.

Provider Profile Details

NPI Number
1417150293
Provider Name
Chase Medical Group, PC
Provider Entity Type
Organization
Address
19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331
Phone Number
201-791-8689
Fax Number
201-791-2589
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Rena Levykh-Chase, MD · President · 201-791-8689
Provider Enumeration Date
June 7, 2007
Last Update Date
January 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331
Zip
07410-2331
Phone Number
201-791-8689
Fax Number
201-791-2589
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331
City
Fair Lawn
State
NJ
Zip
07410-2331
Phone Number
201-791-8689
Fax Number
201-791-2589

License Information

License Number
MA69109
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Chase Medical Group, PC?

The NPI number of Chase Medical Group, PC is 1417150293. It was assigned on June 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Chase Medical Group, PC?

Chase Medical Group, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA69109.

Where does Chase Medical Group, PC practice?

The practice location is 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410-2331. The office can be reached at 201-791-8689 (phone) or 201-791-2589 (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 1417150293 directly on the NPPES registry website.

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