Active NPI
Dream Physicians
- Internal Medicine Physician
- Colonia, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chetankumar Keshavbhai Chauhan, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA09202000 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1801024559
-
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-
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- NPI 1669281515
-
- Adult Health Nurse Practitioner
- Ridgewood, NJ
- NPI 1649564568
-
- Family Nurse Practitioner
- Mahwah, NJ
- NPI 1952180341
-
- Addiction (Substance Use Disorder) Counselor
- Colonia, NJ
- NPI 1356098149
-
- Foot & Ankle Surgery Podiatrist
- Elizabeth, NJ
- NPI 1396983037
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.