Shavar Alterec Chase, APN-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01018500 Issued in NJ

Practice address

1631 Lawrence St
Rahway, NJ 07065-5144

Phone

(862) 596-8209

NPI assigned

Mar 12, 2020

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 names 1

• Dr. Shavar Alterec Chase Professional name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Chase Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rahway, NJ
  • NPI 1942878400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1306472170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070420266",
            "telephone_number": "862-596-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LAWRENCE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655144",
            "telephone_number": "862-596-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "SHAVAR",
        "middle_name": "ALTEREC",
        "name_prefix": "Mr.",
        "credential": "APN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01018500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAVAR",
            "last_name": "CHASE",
            "middle_name": "ALTEREC",
            "prefix": "DR.",
            "credential": "APN-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Castro, LMFT
• Jean Paul Grimes Castro, P.T
• Central Jersey Skin Care Associates, P.a.
• Crystal Chan, MD
• Chase Mental Health Services LLC
• Anu Chaudhry, MD
• Arunateja Chennareddy, NURSE PRACTITIONER
• Amad Choudhry, M.D.
• City of Rahway
• Josephine Tina Clapcich, OTR

• Psychiatric/Mental Health Nurse Practitioner in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.