Adel B. Chaouch Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

VIPT00617 Issued in NJ

Practice address

1450 Haddon Ave
Camden, NJ 08103-3121

Phone

(856) 966-9500

Fax

(856) 966-9800

NPI assigned

Apr 17, 2007

Last updated

Mar 2, 2011By the provider in NPPES

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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vip Transportation Services, Inc.

  • Land Ambulance
  • Camden, NJ
  • NPI 1073812905
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1356566996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033121",
            "telephone_number": "856-966-9500",
            "fax_number": "856-966-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033121",
            "telephone_number": "856-966-9500",
            "fax_number": "856-966-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAOUCH",
        "first_name": "ADEL",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NJ",
            "license": "VIPT00617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1140891",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "89926",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K0677",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7277504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NEW JERSEY",
            "identifier": "01000275100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maegan Stacee Chan, MD
• Stephen Timmy Chan
• Austin Ryan Chang, MD
• Michael E. Chansky, MD
• Natalie Chao
• Jennifer J Chapokas, MSN, FNP-C
• Iris Camille Bonrostro Charcos, DO
• Justin Charles, MD
• Laurie Charles, M.D.
• Mariane Charron, M.D.

• Non-emergency Medical Transport (VAN) in Camden, NJ
• Providers in Camden, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.