Martha Grace Chiccone, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03713000 Issued in NJ

Practice address

24 Wyckham Rd
Spring Lake, NJ 07762-2255

Phone

(732) 974-0592

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1457512006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WYCKHAM RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622255",
            "telephone_number": "732-974-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WYCKHAM RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622255",
            "telephone_number": "732-974-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICCONE",
        "first_name": "MARTHA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03713000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Built to Move
• Tara Callaghan, PHARMD.
• Laura Steelman Callahan, LPC
• Tara A. Chalakani, RN, MS, NCC
• John Charles, M.S., ED.S
• Gianna Chiusano, RN
• Peter Enrico Ciampi, DDS
• Rossana Fiorita Ciampi, DDS
• Maura E Conniff, D.M.D.
• Manuela Valventos Correia-Guerra, MA, LPC

• Internal Medicine Physician in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.