Active NPI
David Cheli, MD
- Family Medicine Physician
- Manasquan, NJ
National Provider Identifier
1043205685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA31048
- Practice address
- 2640 Highway 70
BLDG #10
Manasquan, NJ 08736-2609 - Phone
- (732) 223-8200
- Fax
- (732) 223-3633
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA31048 | NJ | Primary |
Addresses
Primary practice location
2640 Highway 70
BLDG #10
Manasquan, NJ 08736-2609
Mailing address
2640 Highway 70
BLDG #10a
Manasquan, NJ 08736-2609
Phone (732) 223-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2948206 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA31048 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1043205685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 HIGHWAY 70",
"address_2": "BLDG #10A",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362609",
"telephone_number": "732-223-8200",
"fax_number": "732-223-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 HIGHWAY 70",
"address_2": "BLDG #10",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362609",
"telephone_number": "732-223-8200",
"fax_number": "732-223-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELI",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA31048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2948206",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.