Active NPI
Vijay Chockalingam, MD
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
National Provider Identifier
1306693130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MT233243
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (800) 836-7536
- NPI assigned
- Apr 30, 2024
- Last updated
- Jun 6, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | MT233243 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
3 Periwinkle Dr
Monmouth Junction, NJ 08852-1909
Phone (848) 667-0662
Other practice location 1
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604003692 | PA | Order and Referring Only - Interventional Radiology | 4183133614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1306693130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PERIWINKLE DR",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088521909",
"telephone_number": "848-667-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "800-836-7536"
}
],
"practiceLocations": [
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "908-522-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOCKALINGAM",
"first_name": "VIJAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-30",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MT233243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.