Active NPI
Omnj Division Two LLC
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1437963840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- OMNJ DIVISION TWO LLC
- Practice address
- 694 Main St # 257
New York, NY 10044-0027 - Phone
- (718) 255-6391
- Fax
- (718) 255-6392
- NPI assigned
- Feb 5, 2025
- Last updated
- Feb 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harshvardhan Chaobal, DO
- Title
- Owner
- Phone
- (718) 255-6391
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
694 Main St # 257
New York, NY 10044-0027
Mailing address
694 Main St # 257
New York, NY 10044-0027
Phone (718) 255-6391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
146 N State Rt 17
Ste A1
Hackensack, NJ 07601
Phone (551) 999-9064
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1518427350
-
- Anesthesiology Physician
- Neptune City, NJ
- NPI 1619409950
-
- Pain Medicine (Anesthesiology) Physician
- Freehold, NJ
- NPI 1699267377
-
- Anesthesiology Physician
- Belleville, NJ
- NPI 1194704320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1437963840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 MAIN ST # 257",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440027",
"telephone_number": "718-255-6391",
"fax_number": "718-255-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 MAIN ST # 257",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440027",
"telephone_number": "718-255-6391",
"fax_number": "718-255-6392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNJ DIVISION TWO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "CHAOBAL",
"authorized_official_first_name": "HARSHVARDHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-255-6391",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.