Individual provider Active NPI

John Asghar Chuback, JOHN CHUBACK, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Paramus, NJ
National Provider Identifier
1124071261
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MA65556 Issued in NJ
Practice address
205 Robin Rd Ste 333
Paramus, NJ 07652-1424
Phone
(201) 261-1772
Fax
(201) 261-1776
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MA65556 NJ Primary

Addresses

Primary practice location

205 Robin Rd Ste 333
Paramus, NJ 07652-1424

Mailing address

205 Robin Rd Ste 333
Paramus, NJ 07652-1424
Phone (201) 261-1772

Other identifiers 1

IdentifierTypeStateIssuer
8915601MedicaidNJ

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
I20050620000756 NJ Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 2860437951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John a. Chuback, MD, LLCGroup PAC ID 9931132677, 2 clinicians

Practice addresses (Care Compare)

205 Robin Rd
Suite 333
Paramus, NJ 07652-1449
Phone (201) 261-1772

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as individual
Quality
67.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1055
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA65556NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Chuback, MD, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2005 Accepting new patients
Center for Vein Restoration NJ LLC CurrentSince Aug 7, 2024 Accepting new patients
Center for Vein Restoration NJ LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 7, 2024 Accepting new patients
Cosmetic Vein Center, LLC PastSince Jun 30, 2005 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

211 Essex St
Ste 403
Hackensack, NJ 07601
Phone (201) 646-0044

1015 New Rd
Ste D
Northfield, NJ 08225

2 Sears Dr
Ste 101
Paramus, NJ 07652
Phone (201) 261-1722

205 Robin Rd
Ste 333
Paramus, NJ 07652
Phone (201) 261-1772

Interoperability endpoints

  • Direct secure messaging: johnchuback@jacmdllc.allscriptsdirect.net

Organizations & group practices 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1124071261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 333",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-261-1772",
            "fax_number": "201-261-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ROBIN RD STE 333",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521424",
            "telephone_number": "201-261-1772",
            "fax_number": "201-261-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBACK",
        "first_name": "JOHN",
        "middle_name": "ASGHAR",
        "credential": "JOHN CHUBACK, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "MA65556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.