Brent Ira Chabus, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

168233 Issued in NY

Practice address

161 Madison Ave
Suite 10NW
New York, NY 10016-5421

Phone

(212) 477-5698

Fax

(212) 696-9411

NPI assigned

Oct 2, 2006

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of New York Downstate Medical Center, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beth Israel Medical Center Psychiatry & Behavioral Science

  • Cognitive & Behavioral Psychologist
  • New York, NY
  • NPI 1477582476
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1295828911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SWANS MILL LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763406",
            "telephone_number": "212-477-5698",
            "fax_number": "917-677-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE",
            "address_2": "SUITE 10NW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165421",
            "telephone_number": "212-477-5698",
            "fax_number": "212-696-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABUS",
        "first_name": "BRENT",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "168233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01143402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raj Chablani, M.D.
• Sumedha Chablani, M.D.
• Jonathan Chabon, MD
• John Chabot, M.D.
• Supriya Chabria, LMSW
• Zoe Avery Chace-Donahue, LCSW
• Amina Chace
• Faina Chachko, MD
• Abraham Chachoua, M.D.
• Anil Chacko, PHD

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.