NPIMap

Organization Active NPI

Chronic Care Specialists of NJ PC

  • Internal Medicine Physician
  • Lakewood, NJ
National Provider Identifier
1114817020
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHRONIC CARE SPECIALISTS OF NJ PC
Practice address
1999 Cedarbridge Ave Ste 1a
Lakewood, NJ 08701-7048
Phone
(212) 734-6621
NPI assigned
Jul 3, 2025
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Perry SteinNPI 1104932508
Title
Owner
Phone
(516) 578-7814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1999 Cedarbridge Ave Ste 1a
Lakewood, NJ 08701-7048

Mailing address

1999 Cedarbridge Ave
Lakewood, NJ 08701-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250805004409 NJ Part B Supplier - Clinic/Group Practice 0547778995 Receives reassigned benefits from 10 practitioners
Practice locations: Maywood, NJ
O20251027000357 CT Part B Supplier - Clinic/Group Practice 0547778995 Receives reassigned benefits from 8 practitioners
Practice locations: Mystic, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1114817020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 CEDARBRIDGE AVE STE 1A",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017048",
            "telephone_number": "212-734-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC CARE SPECIALISTS OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-578-7814"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.