Rajeshree Prashant Chinchankar, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Dumont, NJ

NPI 1003072034 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1003072034
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
25MA10375500 (NJ)
Practice address
125 Washington Ave
Dumont, NJ 07628-3066
Phone
(201) 374-2722
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MPV New Jersey MD Services PC (146 clinicians)

Practice addresses (Care Compare)

125 Washington Ave
Dumont, NJ 07628-3066
Phone (201) 374-2722

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital · Montclair, NJ · CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100 (apm)
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180927002896 NJ Practitioner - Obstetrics/Gynecology 9830440940 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC Current
since Oct 15, 2018
Accepting new patients
MPV New Jersey MD Services PC Current
since Oct 15, 2018
Accepting new patients

Locations

125 Washington Ave
Dumont, NJ 07628
Phone (201) 374-2722

1 Bay Ave
Ste 2N
Montclair, NJ 07042

Interoperability endpoints

  • Direct secure messaging: rchinchankar@pgs.gwaydirect.com
  • Direct secure messaging: rchinchankar191209@ahs.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA10375500 NJ Yes

Addresses

Primary practice location

125 Washington Ave
Dumont, NJ 07628-3066

Mailing address

PO Box 419430
Boston, MA 02241-9430
Phone (201) 967-8221

Other providers in Dumont, NJ

All providers in Dumont, NJ · Obstetrics & Gynecology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.