Organization Active NPI

Vivian Chen, M.D., P.a.

  • Ophthalmology Physician
  • East Brunswick, NJ
National Provider Identifier
1194714261
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NJMA020738 Issued in NJ
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

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Kenneth Edward Yang, M.D.NPI 1114985595
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20040501000107 NJ Part B Supplier - Clinic/Group Practice 4587652441 Receives reassigned benefits from 1 practitioner
Practice locations: E Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.