Jose M Chavez-Cacho, M.D.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

25MA058212 Issued in NJ

Practice address

61 Passaic Avenue
Passaic, NJ 07055

Phone

(973) 473-5053

Fax

(973) 574-9430

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jose.chavezcacho@direct.bayonnemedicalcenter.md

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.

• Ijkg Opco LLC

  • Skilled Nursing Facility
  • Bayonne, NJ
  • NPI 1437356755
  NPD
• Ironbound Community Health Center Inc

  • Clinic/Center
  • Newark, NJ
  • NPI 1932798436
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1497854236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PASSAIC AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-473-5053",
            "fax_number": "973-574-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PASSAIC AVENUE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "07055",
            "telephone_number": "973-473-5053",
            "fax_number": "973-574-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-CACHO",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA058212",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "25MA058212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5337101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chaya Sorscher Ms CCC-SLP/a
• Tin M Chen, P.A.
• Chestnut Hill Convalescent & Rehabilitation Center
• Chestnut Hill Convalescent Center
• Chestnut Hill Residence

• Obstetrics Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Obstetrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.