Ophelia Rachell Chiles
Individual provider Active NPI Specialist · Plainfield, NJ
NPI 1114229598 · NPPES record last updated Jun 12, 2019
Key facts
- NPI
- 1114229598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 784299 (NJ)
- Practice address
- 767 Kensington Ave
Plainfield, NJ 07060 - Phone
- (973) 941-1123
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 784299 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiles and Chiles Associates L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 784299 | NJ | Yes |
Addresses
Primary practice location
767 Kensington Ave
Plainfield, NJ 07060
Mailing address
767 Kensington Ave
Plainfield, NJ 07060-1913
Phone (973) 941-1123
Other practice location 1
111 S Orange Ave Ste 28
South Orange, NJ 07079-1931
Phone (732) 771-7301
Other practice location 2
111 S Orange Ave Ste 28
South Orange, NJ 07079-1931
Phone (732) 771-7301
Other names
- Ophelia Rachell Tracy
Other providers in Plainfield, NJ
- Central Jersey Arts Charter School
- Cerebral Palsy of North Jersey
- Cerebral Palsy of North Jersey
- Cerebral Palsy of North Jersey, Inc.
- Chiles and Chiles Associates L.L.C.
- Chiley Healthcare Services
- Choice Allergy and Sinus Care PC
- City of Plainfield, Health Department
- Clarity Wellness and Mental Health
- Jessica L Cleaver
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.