Individual provider Active NPI

Chintan Prakash Parikh, M.D

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1124192497
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08142500 Issued in NJ
Practice address
50 Byrne CT # a
Wayne, NJ 07470-3671
Phone
(973) 981-4044
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08142500 NJ Primary
Internal Medicine Physician 207R00000X MD451044 PA

Addresses

Primary practice location

50 Byrne CT # a
Wayne, NJ 07470-3671

Mailing address

50 Byrne CT # a
Wayne, NJ 07470-3671
Phone (973) 981-4044

Other identifiers 1

IdentifierTypeStateIssuer
0241474MedicaidNJ

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
I20070418000474 NJ Practitioner - Internal Medicine 1355446451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 Belleville Ave
Suite 204a
Bloomfield, NJ 07003-3589
Phone (973) 680-9800

Hospital & facility affiliations

  • Patient Care Home health agency, West Orange, NJ, CCN 317060
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CP Primary Care PC Internal Medicine CurrentSince Nov 11, 2006 Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

206 Belleville Ave
Ste 204A
Bloomfield, NJ 07003
Phone (973) 680-9800

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1124192497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BYRNE CT # A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703671",
            "telephone_number": "973-981-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BYRNE CT # A",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703671",
            "telephone_number": "973-981-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "CHINTAN",
        "middle_name": "PRAKASH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08142500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD451044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241474",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.