Individual provider Active NPI

Darren S Chin, MD

  • Family Medicine Physician
  • Scotch Plains, NJ
National Provider Identifier
1417934068
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA068662 Issued in NJ
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
K1194OtherNJBLUE CROSS BLUE SHIELD
115541400OtherNJFIRST HEALTH
P00075051OtherNJRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000635 NJ Practitioner - Family Practice 2466648852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA68662NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.