Active NPI
Alberto M Chavez, MD
- Neonatal-Perinatal Medicine Physician
- Jackson, NJ
National Provider Identifier
1255381802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 25MA04140000
- Practice address
- 93 Stamford Dr
Jackson, NJ 08527-4479 - Phone
- (908) 642-0144
- NPI assigned
- May 12, 2006
- Last updated
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA04140000 | NJ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 25MA04140000 | NJ | Primary |
Addresses
Primary practice location
93 Stamford Dr
Jackson, NJ 08527-4479
Mailing address
93 Stamford Dr
Jackson, NJ 08527-4479
Phone (908) 642-0144
Other practice location 1
1000 Haddonfield-Berlin Rd
Suite 210
Voorhees, NJ 08043
Phone (856) 782-2212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3853501 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04140000 | NJ | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1255381802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 STAMFORD DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274479",
"telephone_number": "908-642-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 STAMFORD DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274479",
"telephone_number": "908-642-0144"
}
],
"practiceLocations": [
{
"address_1": "1000 Haddonfield-Berlin Rd",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "08043",
"country_code": "US",
"telephone_number": "856-782-2212",
"fax_number": "856-782-2213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "ALBERTO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA04140000",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NJ",
"license": "25MA04140000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3853501",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.