Active NPI
Darren S Chin, MD
- Family Medicine Physician
- Scotch Plains, NJ
National Provider Identifier
1417934068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA068662
- Practice address
- 1765 E 2ND St
Scotch Plains, NJ 07076-1737 - Phone
- (908) 322-2490
- Fax
- (888) 364-8160
- NPI assigned
- Dec 26, 2005
- Last updated
- Nov 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA68662 | NJ | |
| Family Medicine Physician | 207Q00000X | MA068662 | NJ | Primary |
Addresses
Primary practice location
1765 E 2ND St
Scotch Plains, NJ 07076-1737
Mailing address
1765 E 2ND St
Scotch Plains, NJ 07076-1737
Phone (908) 322-2490
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K1194 | Other | NJ | BLUE CROSS BLUE SHIELD |
| 115541400 | Other | NJ | FIRST HEALTH |
| P00075051 | Other | NJ | RAILROAD MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101124000635 | NJ | Practitioner - Family Practice | 2466648852 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA68662 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Comprehensive Medical Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Scotch Plains, NJ
- NPI 1144587361
-
- Chiropractor
- Flemington, NJ
- NPI 1164773453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1417934068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761737",
"telephone_number": "908-322-2490",
"fax_number": "888-364-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761737",
"telephone_number": "908-322-2490",
"fax_number": "888-364-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "DARREN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-26",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA68662",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA068662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "K1194",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "115541400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00075051",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.