Individual provider Active NPI

Eugenie Kottin Chetangie

  • Family Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1447859848
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01063000 Issued in NJ
Practice address
13 Rolling Rapids CT
Hackettstown, NJ 07840-1736
Phone
(862) 216-9422
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01063000 NJ Primary

Addresses

Primary practice location

13 Rolling Rapids CT
Hackettstown, NJ 07840-1736

Mailing address

13 Rolling Rapids CT
Hackettstown, NJ 07840-1736
Phone (862) 216-9422

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303001735 NJ Practitioner - Nurse Practitioner 5496161267 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Sep 1, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Aug 26, 2020 Accepting new patients

Locations

1 Clara Maass Dr
Ste 200
Belleville, NJ 07109
Phone (973) 744-8000

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

1 Bay Ave
Ste 2
Montclair, NJ 07042
Phone (201) 792-9011

776 E 3rd Ave
Roselle, NJ 07203
Phone (908) 241-5545

Interoperability endpoints

  • Direct secure messaging: echetangie780380@ahs.direct-ci.com

Organizations & group practices 3

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1447859848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROLLING RAPIDS CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401736",
            "telephone_number": "862-216-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ROLLING RAPIDS CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401736",
            "telephone_number": "862-216-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETANGIE",
        "first_name": "EUGENIE",
        "middle_name": "KOTTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01063000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.