Active NPI
David Robert Chabbott, MD
- Cardiovascular Disease Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA10045900
- Practice address
- 22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016 - Phone
- (201) 475-5050
- NPI assigned
- May 5, 2011
- Last updated
- May 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA10045900 | NJ | Primary |
Addresses
Primary practice location
22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016
Mailing address
22-18 Broadway Ste 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York Downstate Medical Center, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 McBride Ave
Woodland Park, NJ 07424-3813
22 -02 Broadway
Fair Lawn, NJ 07410-3016
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250
350 Engle St
Englewood, NJ 07631-1808
350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364
637 Route 23
Pompton Plains, NJ 07444-1419
Phone (862) 666-9210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10045900 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Josephs Physicians Healthcare Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Cardiology Associates | Cardiovascular Disease | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Englewood Hospital and Medical Center | Past | Accepting new patients | |
| William K Lee MD PA | Cardiovascular Disease | Past | Accepting new patients |
Locations
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
22-18 Broadway
Ste 104
Fair Lawn, NJ 07410
Phone (201) 797-4503
22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141
22-18 Broadway
Ste 202
Fair Lawn, NJ 07410
Phone (201) 796-5400
200 Fairfield Rd
Fairfield, NJ 07004
Phone (973) 256-1799
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054
999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667
Interoperability endpoints
- dchabbott236682@direct.englewoodhealth.org
- https://fhir4.healow.com/fhir/r4/JHJHBA
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Cardiovascular Disease Physician
- West Paterson, NJ
- NPI 1841358512
-
- Cardiovascular Disease Physician
- Paterson, NJ
- NPI 1033410907
-
dba Englewood Hospital Psych Unit
- Psychiatric Hospital Unit
- Englewood, NJ
- NPI 1124071980
-
- Cardiovascular Disease Physician
- Oakland, NJ
- NPI 1508891003
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1326330606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22-18 BROADWAY STE 201",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "201-475-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22-18 BROADWAY STE 201",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103016",
"telephone_number": "201-475-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABBOTT",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA10045900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.