Active NPIIndividual provider

Dr. Breehan K Chancellor, MD

Psychiatry & Neurology, Neurology in Ridgewood, New Jersey

NPI Number1649513474
Practice location
1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937
Fax
201-327-8225
Last updated
October 10, 2025

Breehan Kelley Chancellor is a Psychiatry & Neurology, Neurology based in Ridgewood, NJ. Breehan Kelley Chancellor practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Breehan Kelley Chancellor is 1649513474 and holds a License No. 25MA10854400 (NJ). The current practice location address for Breehan Kelley Chancellor is 1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937 and can be reached out via phone at 201-327-8600 and via fax at 201-327-8225.

Provider Profile Details

NPI Number
1649513474
Provider Name
Breehan Kelley Chancellor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937
Phone Number
201-327-8600
Fax Number
201-327-8225
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Other Names
Breehan Rose Kelley, MD (Professional Name)
Provider Enumeration Date
March 29, 2013
Last Update Date
October 10, 2025
Certification Date
October 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
Zip
07450-3937
Phone Number
201-327-8600
Fax Number
201-327-8225
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
City
Ridgewood
State
NJ
Zip
07450-3937
Phone Number
201-327-8600

License Information

License Number (1)
25MA10854400
License State (1)
NJ
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X · Primary
License Number (2)
25MA10854400
License State (2)
NJ

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. Breehan K Chancellor, MD?

The NPI number of Dr. Breehan K Chancellor, MD is 1649513474. It was assigned on March 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Breehan K Chancellor, MD?

Dr. Breehan K Chancellor, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NJ under license number 25MA10854400.

Where does Dr. Breehan K Chancellor, MD practice?

The practice location is 1200 E Ridgewood Ave Ste 200, Ridgewood, NJ 07450-3937. The office can be reached at 201-327-8600 (phone) or 201-327-8225 (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 1649513474 directly on the NPPES registry website.

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