Active NPI
Chad Joseph Warren, FNP
- Nurse Practitioner
- Woolwich TWP, NJ
National Provider Identifier
1417547423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01097000
- Practice address
- 105 Winding Way
Woolwich TWP, NJ 08085-1831 - Phone
- (856) 430-7066
- NPI assigned
- Jan 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01097000 | NJ | Primary |
Addresses
Primary practice location
105 Winding Way
Woolwich TWP, NJ 08085-1831
Mailing address
105 Winding Way
Woolwich TWP, NJ 08085-1831
Phone (856) 430-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01097000 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1417547423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WINDING WAY",
"city": "WOOLWICH TWP",
"state": "NJ",
"postal_code": "080851831",
"telephone_number": "856-430-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WINDING WAY",
"city": "WOOLWICH TWP",
"state": "NJ",
"postal_code": "080851831",
"telephone_number": "856-430-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "CHAD",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-23",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01097000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woolwich TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.