NPIMap

Organization Active NPI

Family Care PA

  • Internal Medicine Physician
  • Green Brook, NJ
National Provider Identifier
1275619413
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05399400 Issued in NJ
Legal business name
FAMILY CARE PA
Practice address
257 RT 22 East
Green Brook, NJ 08812
Phone
(732) 968-8832
Fax
(732) 968-2187
NPI assigned
Oct 31, 2006
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. John Nick Chafos, MDNPI 1871673830
Title
Owner Director
Phone
(732) 968-8832

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
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 25MA05399400 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA05399400 NJ Primary

Addresses

Primary practice location

257 RT 22 East
Green Brook, NJ 08812

Mailing address

257 RT 22 East
Green Brook, NJ 08812
Phone (732) 968-8832

Other names 1

  • John Chafos MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930083895 NJ DME Supplier - Physician - General Practice 1658584008 1 other NPI on this enrollment
Practice locations: Greenbrook, NJ
O20120620000110 NJ Part B Supplier - Clinic/Group Practice 1658584008 Receives reassigned benefits from 12 practitioners
Practice locations: Green Brook, NJ; Hillsborough, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1275619413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 RT 22 EAST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8832",
            "fax_number": "732-968-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 RT 22 EAST",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "08812",
            "telephone_number": "732-968-8832",
            "fax_number": "732-968-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "CHAFOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NICK",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "732-968-8832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05399400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05399400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Chafos MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.