Chad Jason Itzkovich, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08040300 Issued in NJ

Practice address

2740 State Route 10
Suite 104
Morris Plains, NJ 07950

Phone

(973) 200-8224

Fax

(973) 695-1324

NPI assigned

Apr 26, 2006

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: citzkovich502565@direct.ahsys.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

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

• Anesthesia Associates of Morristown PA

  • Specialist
  • Morristown, NJ
  • NPI 1922057678
  Medicare reassignment NPD
• Gastroenterology Associates of New Jersey, LLC

  • Gastroenterology Physician
  • Woodland Park, NJ
  • NPI 1497932271

  Anesthesiology

  Medicare reassignment NPD
• Summit Medical Group PA

  • Multi-Specialty Clinic/Center
  • Berkeley Heights, NJ
  • NPI 1942254347
  Medicare reassignment NPD
• Great South Bay Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • East Patchogue, NY
  • NPI 1366864514
  Medicare reassignment NPD
• Putnam Gi, LLC

  dba Putnam Endoscopy ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Carmel, NY
  • NPI 1215211552
  Medicare reassignment NPD
• Sirona Healthcare LLC

  dba Sirona Pain Management & Anesthesia

  • Pain Medicine (Anesthesiology) Physician
  • Morris Plains, NJ
  • NPI 1225558596
  NPD Authorized official
• Metropolitan Surgical Services LLC

  dba Metropolitan Surgical Services

  • Surgical Physician Assistant
  • Morris Plains, NJ
  • NPI 1053730275
  Authorized official Same address or phone
• Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1043930555
  NPD
• Rutherford Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Rutherford, NJ
  • NPI 1891727376
  NPD (past)
• Nuvance Health Medical Practice PC

  • Internal Medicine Physician
  • Poughkeepsie, NY
  • NPI 1437358033
  NPD (past)
• Yorkville Medical Associates PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1740504679
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1063478014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079500305",
            "telephone_number": "973-200-8224",
            "fax_number": "973-695-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 STATE ROUTE 10",
            "address_2": "SUITE 104",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-200-8224",
            "fax_number": "973-695-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKOVICH",
        "first_name": "CHAD",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08040300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102686",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ines Calderon
• Inspired Wellness Within, LLC
• Integrity, Inc
• Integrity, Inc
• Rakky Isaac
• Patrice Iuzzolino, LMFT
• Ruben Ernesto Jardines Cantillo
• Jennifer a Costello LCSW LLC
• Charles Alan Joseph, M.D.
• Just-US Physical Therapy LLC

• Anesthesiology Physician in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.