Active NPI
Vivian Chen, M.D., P.a.
- Ophthalmology Physician
- East Brunswick, NJ
National Provider Identifier
1194714261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- NJMA020738
- Legal business name
- VIVIAN CHEN, M.D., P.A.
- Practice address
- C5 Cornwall CT
East Brunswick, NJ 08816-3352 - Phone
- (732) 257-5767
- Fax
- (732) 238-3771
- NPI assigned
- Oct 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Edward Yang, M.D.
- Title
- President
- Phone
- (732) 257-5767
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NJMA020738 | NJ | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
C5 Cornwall CT
East Brunswick, NJ 08816-3352
Mailing address
C5 Cornwall Dr
East Brunswick, NJ 08816-3352
Phone (732) 257-5767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
C5 Cornwall Dr
East Brunswick, NJ 08816
Phone (732) 238-3771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- East Brunswick, NJ
- NPI 1114985595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1194714261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C5 CORNWALL DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163352",
"telephone_number": "732-257-5767",
"fax_number": "732-238-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C5 CORNWALL CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163352",
"telephone_number": "732-257-5767",
"fax_number": "732-238-3771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVIAN CHEN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-257-5767",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "NJMA020738",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.