Diane Chazen, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04305400 Issued in NJ

Legal business name

DIANE CHAZEN, LLC

Practice address

55 Morris Ave
Suite 216
Springfield, NJ 07081-1426

Phone

(973) 379-8900

Fax

(973) 379-0580

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Miss Lisa Wright

Title

Office Manager

Phone

(973) 379-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1053549907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "address_2": "SUITE 216",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "973-379-8900",
            "fax_number": "973-379-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "address_2": "SUITE 216",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "973-379-8900",
            "fax_number": "973-379-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE CHAZEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-379-8900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04305400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ved Desai, D.O.
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• Isaiah Markedwin Dewar
• Becky Diaz, LMFT
• Robert Vincent Digiacomo, O.D.
• Madeline Marie Dimurro, D.O.
• Madeline Kaylie Dorestil, APN
• Carol Ann Marie Douglas-Crenshaw, CHHA/CNA

• Internal Medicine Physician in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.