Individual provider Active NPI

Kirit I Chhaya, MD

  • Gastroenterology Physician
  • Swedesboro, NJ
National Provider Identifier
1104891118
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA04050800 Issued in NJ
Practice address
2005 Kings Hwy
Swedesboro, NJ 08085
Phone
(856) 467-0390
Fax
(856) 467-9747
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA04050800 NJ Primary

Addresses

Primary practice location

2005 Kings Hwy
Swedesboro, NJ 08085

Mailing address

PO Box 62
Swedesboro, NJ 08085
Phone (856) 467-0390

Other identifiers 2

IdentifierTypeStateIssuer
100009389OtherNJRAILROAD MEDICARE
0924202MedicaidNJ

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
I20100714000735 NJ Practitioner - Gastroenterology 8123183043 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Gastro Associates of New Jersey LLC Gastroenterology CurrentSince Jan 1, 1989 Accepting new patients
Wellness 51 PastSince Jan 12, 2026 Accepting new patients

Locations

2005 Kings Hwy
Swedesboro, NJ 08085
Phone (215) 279-0983

1317 S Main Rd
Ste 1C
Vineland, NJ 08360
Phone (856) 467-0390

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1104891118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-0390",
            "fax_number": "856-467-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KINGS HWY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-0390",
            "fax_number": "856-467-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHAYA",
        "first_name": "KIRIT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04050800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100009389",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.