NPIMap

Individual provider Active NPI

Angelo A Chinnici, MD

  • Internal Medicine Physician
  • Asbury Park, NJ
National Provider Identifier
1417984659
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA43313 Issued in NJ
Practice address
601 Sunset Ave
Asbury Park, NJ 07712-5313
Phone
(732) 775-7978
Fax
(732) 988-2545
NPI assigned
Jun 26, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA43313 NJ Primary

Addresses

Primary practice location

601 Sunset Ave
Asbury Park, NJ 07712-5313

Mailing address

601 Sunset Ave
Asbury Park, NJ 07712-5313
Phone (732) 775-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000160 NJ Practitioner - Internal Medicine 6709838345 Practice locations: Asbury Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

601 Sunset Ave
Asbury Park, NJ 07712-5313
Phone (732) 775-7978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA43313NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo a Chinnici MD PA Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients
New Jersey Sports & Exposition Authority Current Accepting new patients

Locations

601 Sunset Ave
Asbury Park, NJ 07712
Phone (732) 455-8090

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1417984659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SUNSET AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125313",
            "telephone_number": "732-775-7978",
            "fax_number": "732-988-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUNSET AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125313",
            "telephone_number": "732-775-7978",
            "fax_number": "732-988-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNICI",
        "first_name": "ANGELO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA43313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.