Chestnuthill Physicians Group

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MB037972 Issued in NJ

Legal business name

CHESTNUTHILL PHYSICIANS GROUP

Practice address

338 Chestnut St
Passaic, NJ 07055-3158

Phone

(973) 471-9494

Fax

(973) 778-4649

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Demuro, DONPI 1992883235

Title

Partner

Phone

(973) 471-9494

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Paul Demuro, DO

  • Family Medicine Physician
  • Passaic, NJ
  • NPI 1992883235
  Authorized official Same address or phone

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1043408966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-471-9494",
            "fax_number": "973-778-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CHESTNUT ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553158",
            "telephone_number": "973-471-9494",
            "fax_number": "973-778-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUTHILL PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "DEMURO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-471-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MB037972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "CH469414",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2680505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chestnut Hill Convalescent Center
• Chestnut Hill Residence
• Chestnut Hill Residence
• Chestnut Hill Residences by Complete Care
• Chestnut Plaza Dental Center PA
• Gurmeet Chhabra, M.D.
• Peter Chiacchiaro, LCSW
• Children's Dentistry of Passaic LLC
• Ara Cho
• Patricia H Choi, MD

• Geriatric Medicine (Family Medicine) Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Geriatric Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.