John a. Chuback, MD, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MA65556 Issued in NJ

Legal business name

JOHN A. CHUBACK, MD, LLC

Practice address

205 Robin Rd Ste 333
Paramus, NJ 07652-1424

Phone

(201) 261-1772

Fax

(201) 261-1776

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Ashgar Chuback, M.D.NPI 1124071261

Title

President

Phone

(201) 261-1772

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Asghar Chuback, JOHN CHUBACK, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Paramus, NJ
  • NPI 1124071261
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly L Reynolds, NP-C

  • Adult Health Nurse Practitioner
  • Hackensack, NJ
  • NPI 1942475256
  Medicare reassignment Care Compare group
• Elizabeth Coll, NP

  • Nurse Practitioner
  • Clifton, NJ
  • NPI 1841293024
  Medicare reassignment NPD
• Jacquelyn Brondi, PA

  • Surgical Physician Assistant
  • Edison, NJ
  • NPI 1134838337
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1053508325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 333",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-261-1772",
            "fax_number": "201-261-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 333",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-261-1772",
            "fax_number": "201-261-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. CHUBACK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "CHUBACK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ASHGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-261-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA65556",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00124400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John T. Carabuena, DDS & Blanche M. Suarez, DDS
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• Khwmere Johnson
• Ty-Vonna Monae Johnson

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.