Individual provider Active NPI

Chad Eric Stockham, M.D.

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1053575209
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD037449 Issued in DC
Practice address
419 N Harrison St
Princeton, NJ 08540-3521
Phone
(609) 924-9300
Fax
(609) 430-9481
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037449 DC Primary

Addresses

Primary practice location

419 N Harrison St
Princeton, NJ 08540-3521

Mailing address

419 N Harrison St
Princeton, NJ 08540-3521
Phone (609) 924-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150305001349 NJ Practitioner - Internal Medicine 2365566080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Princeton Medical Group,P.a.Group PAC ID 6406835305, 36 clinicians

Practice addresses (Care Compare)

419 N Harrison St
Princeton, NJ 08540-3594
Phone (609) 924-9300

Hospital & facility affiliations

  • Penn Medicine Home Health Princeton Health Home health agency, Princeton, NJ, CCN 317045
  • Mercer Care Home health agency, Bordentown, NJ, CCN 317062
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD037449DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Medical Group,P.a. Internal Medicine CurrentSince Feb 23, 2015 Accepting new patients
Princeton Medical Group, P.a. PastSince Feb 23, 2015 Accepting new patients

Locations

3 Liberty St
Plainsboro, NJ 08536
Phone (609) 924-9300

419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: chad.stockhammd.p1@direct.princetonmedicalgrp.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1053575209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403521",
            "telephone_number": "609-924-9300",
            "fax_number": "609-430-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHAM",
        "first_name": "CHAD",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD037449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.