Organization Active NPI

Stephen a. Chagares, MD, PC

  • Surgery Physician
  • Tinton Falls, NJ
National Provider Identifier
1124288154
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA63076 Issued in NJ
Legal business name
STEPHEN A. CHAGARES, MD, PC
Practice address
1 Executive Dr
Suite 4
Tinton Falls, NJ 07701-4933
Phone
(732) 450-9700
Fax
(732) 450-1511
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Dr. Stephen Arthur Chagares, MD
Title
President
Phone
(732) 450-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA63076 NJ Primary

Addresses

Primary practice location

1 Executive Dr
Suite 4
Tinton Falls, NJ 07701-4933

Mailing address

1 Executive Dr
Suite 4
Tinton Falls, NJ 07701-4933
Phone (732) 450-9700

National Provider Directory

National Provider Directory

Locations

1 Executive Dr
Ste 4
Tinton Falls, NJ 07701
Phone (732) 450-9700

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1124288154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "address_2": "SUITE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014933",
            "telephone_number": "732-450-9700",
            "fax_number": "732-450-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR",
            "address_2": "SUITE 4",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014933",
            "telephone_number": "732-450-9700",
            "fax_number": "732-450-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. CHAGARES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAGARES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-450-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA63076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.