Organization Active NPI

Dream Physicians

  • Internal Medicine Physician
  • Colonia, NJ
National Provider Identifier
1023454261
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DREAM PHYSICIANS
Practice address
1503 Saint Georges Ave Ste 106
Colonia, NJ 07067-3427
Phone
(908) 388-1716
Fax
(856) 212-1214
NPI assigned
May 15, 2013
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Chetankumar Keshavbhai Chauhan, M.D.NPI 1801024559
Title
Ceo
Phone
(732) 318-0756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1503 Saint Georges Ave Ste 106
Colonia, NJ 07067-3427

Mailing address

23 Maida Rd
Edison, NJ 08820-2531
Phone (732) 318-0756

Other identifiers 1

IdentifierTypeStateIssuer
25MA09202000OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130806000113 NJ Part B Supplier - Clinic/Group Practice 7911149828 Receives reassigned benefits from 1 practitioner
Practice locations: Belleville, NJ; Colonia, NJ; Elizabeth, NJ; Metuchen, NJ

National Provider Directory

National Provider Directory

Locations

250 Mill St
Ste 1
Belleville, NJ 07109
Phone (973) 256-5474

1503 Saint Georges Ave
Ste 106
Colonia, NJ 07067
Phone (732) 540-8272

171 Elmora Ave
Fl 1
Elizabeth, NJ 07202
Phone (908) 388-1716

487 Goffle Rd
Ridgewood, NJ 07450

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1023454261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIDA RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202531",
            "telephone_number": "732-318-0756",
            "fax_number": "856-212-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE STE 106",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "908-388-1716",
            "fax_number": "856-212-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAUHAN",
        "authorized_official_first_name": "CHETANKUMAR",
        "authorized_official_middle_name": "KESHAVBHAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-318-0756",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA09202000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.