Individual provider Active NPI

Nastacia Karine Chavannes, M.D

  • Psychiatry Physician
  • Neptune, NJ
National Provider Identifier
1013440452
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11979300 Issued in NJ
Practice address
Jersey Shore University Medical Center
1943 Route 33
Neptune, NJ 07753
Phone
(732) 755-5500
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 295925 NY
Psychiatry Physician 2084P0800X 25MA11979300 NJ Primary

Addresses

Primary practice location

Jersey Shore University Medical Center
1943 Route 33
Neptune, NJ 07753

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

19 Davis Ave Fl 9
Neptune, NJ 07753-4488
Phone (732) 897-3640

Other practice location 2

3198 Grand Concourse
Bronx, NY 10458-1000
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181101000726 NY Practitioner - PsychiatryPractitioner - General Practice 2567715931 Reassigns benefits to 4 organizations
I20240907000309 NJ Practitioner - Psychiatry 2567715931 Reassigns benefits to 1 organization
I20260310001432 FL Practitioner - Psychiatry 2567715931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136

PO Box
Suite 770142
Coral Springs, FL 33077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
295925NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jun 24, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 24, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 11, 2018 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 5, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 11, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Sep 11, 2018 Accepting new patients
Psychiatric Specialty Center LLC Psychiatry CurrentSince Feb 1, 2026 Accepting new patients

Locations

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

19 Davis Ave
Fl 9
Neptune, NJ 07753
Phone (732) 897-3640

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

2015 Grand Concourse
#13202
Bronx, NY 10453

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Networks

  • FL HMO D-SNP
  • FL PPO
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • FL HMO
  • FL HMO C-SNP
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1013440452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JERSEY SHORE UNIVERSITY MEDICAL CENTER",
            "address_2": "1943 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-755-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Davis Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534488",
            "country_code": "US",
            "telephone_number": "732-897-3640",
            "fax_number": "732-987-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3198 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104581000",
            "country_code": "US",
            "telephone_number": "718-618-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVANNES",
        "first_name": "NASTACIA",
        "middle_name": "KARINE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "295925",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11979300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.