Chase Medical Group, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA69109 Issued in NJ

Legal business name

CHASE MEDICAL GROUP, PC

Practice address

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331

Phone

(201) 791-8689

Fax

(201) 791-2589

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rena Levykh-Chase, M.D.

Title

President

Phone

(201) 791-8689

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1417150293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-791-8689",
            "fax_number": "201-791-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-791-8689",
            "fax_number": "201-791-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "LEVYKH-CHASE",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-8689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA69109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8296804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayna Chamish, LSW
• Richard Chamorro, PTA
• Shweta Chandarana
• Daliya Anoo Chandroth
• Regina Charles, LAC
• Sadia R Chaudry, M.D.
• Samia Riaz Chaudry, D.O.
• Allison Chazen, LMT
• Chemisys Laboratories, LLC
• Natalia Cherkassky, ANP,BC

• Internal Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.