Individual provider Active NPI

David Robert Chabbott, MD

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1326330606
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10045900 Issued in NJ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006000347 NJ Practitioner - Cardiovascular Disease (Cardiology) 8022301001 Reassigns benefits to 3 organizations

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
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

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

LicenseStateTypeSpecialty
25MA10045900NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince May 21, 2019 Accepting new patients
Cardiology Associates Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2017 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
William K Lee MD PA Cardiovascular Disease PastSince Jul 1, 2019 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

  • Direct secure messaging: dchabbott236682@direct.englewoodhealth.org
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.