Mitchel Jonathan Chalek, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00015000 Issued in NJ

Practice address

33 Plymouth St
Suite 107
Montclair, NJ 07042-2677

Phone

(973) 744-7539

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1235332016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST",
            "address_2": "SUITE 107",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-744-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH ST",
            "address_2": "SUITE 107",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-744-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALEK",
        "first_name": "MITCHEL",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00015000",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001181-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED ACUPUNCTURIST",
            "identifier": "25MZ00015000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ACUPUNCTURIST",
            "identifier": "00118-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Cermak, MSW
• Marilyn Certner-Smith, SLP
• Michael Q Cerullo, MSPT,CSCS
• Rosalie Cespedes, LSW
• Sophie Jibnie F Ceus
• Charbel T Chalfoun, M.D.
• Jasmine Chambers
• Champs Medical Transport
• Joseph A Chan, MSW, LCSW
• Sangeetha Chandramohan, MD, MPH

• Acupuncturist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.