Active NPI
Harry L Chaikin, MD
- Geriatric Medicine (Internal Medicine) Physician
- Brigantine, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 25MA03818700
- Practice address
- 3400 Brigantine Blvd
Brigantine, NJ 08203-1053 - Phone
- (609) 266-7557
- Fax
- (609) 266-4450
- NPI assigned
- Oct 28, 2005
- Last updated
- Mar 25, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 25MA03818700 | NJ | Primary |
Addresses
Primary practice location
3400 Brigantine Blvd
Brigantine, NJ 08203-1053
Mailing address
353 12TH St S
Brigantine, NJ 08203-2211
Phone (609) 266-7557
Other practice location 1
353 12th St S
Brigantine, NJ 08203-2211
Phone (609) 266-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1166409 | Medicaid | NJ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03818700 | NJ | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Brigantine Medical Group PA | Current | Accepting new patients | |
| Atlanticare Physician Group | Current | Accepting new patients |
Locations
353 12th St S
Brigantine, NJ 08203
Phone (609) 266-7557
2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
61 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 748-5380
Interoperability endpoints
- harry.chaikin.1@15449.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba AtlantiCare Urgent Care
- Clinical Social Worker
- Egg Harbor Township, NJ
- NPI 1881618494
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Adult Medicine Physician
- Brigantine, NJ
- NPI 1669462735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1336139484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 12TH ST S",
"city": "BRIGANTINE",
"state": "NJ",
"postal_code": "082032211",
"telephone_number": "609-266-7557",
"fax_number": "609-266-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BRIGANTINE BLVD",
"city": "BRIGANTINE",
"state": "NJ",
"postal_code": "082031053",
"telephone_number": "609-266-7557",
"fax_number": "609-266-4450"
}
],
"practiceLocations": [
{
"address_1": "353 12th St S",
"address_purpose": "LOCATION",
"city": "Brigantine",
"state": "NJ",
"postal_code": "082032211",
"country_code": "US",
"telephone_number": "609-266-7557",
"fax_number": "609-266-4450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAIKIN",
"first_name": "HARRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "25MA03818700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1166409",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brigantine, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.