Active NPI
Nastacia Karine Chavannes, M.D
- Psychiatry Physician
- Neptune, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA11979300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 295925 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Psychiatry | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Psychiatric Specialty Center LLC | Psychiatry | Current | 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
- 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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Psychiatry
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Psychiatry Physician
- Wellington, FL
- NPI 1841678141
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.