Individual provider Active NPI

Michael A. Chieco, M.D.

  • Pediatrics Physician
  • Freehold, NJ
National Provider Identifier
1427027630
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA07773600 Issued in NJ
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(732) 294-2666
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 225231 NY
Pediatrics Physician 208000000X 25MA07773600 NJ Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 24MA07773600 NJ

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

49 Carriage Way
Barnegat, NJ 08005-3393
Phone (917) 297-4680

Other identifiers 2

IdentifierTypeStateIssuer
02315722MedicaidNY
1408Q1OtherNYBLUECROSS BLUESHIELD

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
I20241125002771 NJ Practitioner - Emergency Medicine 8224014428 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225231NYMDLicensed Practical Nurse
24MA07773600NJMDPediatric Emergency Medicine (Emergency Medicine) Physician
25MA07773600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morristown Emergency Medical Associates LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1427027630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CARRIAGE WAY",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080053393",
            "telephone_number": "917-297-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIECO",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225231",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07773600",
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NJ",
            "license": "24MA07773600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02315722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1408Q1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.