Active NPI
Joel Michael Chaise, MD
- Family Medicine Physician
- Yonkers, NY
National Provider Identifier
1114955952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 148106
- Practice address
- 2393 Central Park Ave
Yonkers, NY 10710-1215 - Phone
- (914) 219-0393
- Fax
- (914) 709-4097
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 148106 | NY | |
| Family Medicine Physician | 207Q00000X | 148106 | NY | Primary |
Addresses
Primary practice location
2393 Central Park Ave
Yonkers, NY 10710-1215
Mailing address
1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02162054 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148106 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Urgent Care of Fishkill PLLC | Emergency Medicine | Current | Accepting new patients |
| Excel Urgent Care of East Northport, PLLC | Current | Accepting new patients | |
| Fishkill Pharmacy LLC | Past | Accepting new patients | |
| Hudson Valley Emergency Medicine PLLC | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- East Northport, NY
- NPI 1881978021
-
- Urgent Care Clinic/Center
- Fishkill, NY
- NPI 1720228067
Emergency Medicine
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Emergency Medicine
-
- Community/Retail Pharmacy
- Fishkill, NY
- NPI 1427308188
-
- General Practice Physician
- Poughkeepsie, NY
- NPI 1093746505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1114955952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ FL 13",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-453-0435",
"fax_number": "646-846-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2393 CENTRAL PARK AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101215",
"telephone_number": "914-219-0393",
"fax_number": "914-709-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAISE",
"first_name": "JOEL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "148106",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "148106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02162054",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.