Individual provider Active NPI

Padma Chava, MD

  • Internal Medicine Physician
  • Rutherford, NJ
National Provider Identifier
1508838186
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA071749 Issued in NJ
Practice address
128 Union Ave
Rutherford, NJ 07070
Phone
(201) 939-8834
Fax
(201) 939-7644
NPI assigned
Feb 7, 2006
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA071749 NJ Primary

Addresses

Primary practice location

128 Union Ave
Rutherford, NJ 07070

Mailing address

128 Union Ave
Rutherford, NJ 07070
Phone (201) 939-8834

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
I20040901000496 NJ Practitioner - Internal Medicine 0941275952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William K Lee MD PAGroup PAC ID 5294760161, 11 clinicians

Practice addresses (Care Compare)

43 Yawpo Ave
Oakland, NJ 07436-2714
Phone (201) 337-0066

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA071749NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William K Lee MD PA CurrentSince Jan 8, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine PastSince Aug 28, 2022 Accepting new patients
Valley Physician Services PC Internal Medicine Past Accepting new patients

Locations

200 Fairfield Rd
Fairfield, NJ 07004
Phone (973) 256-1799

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 2
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 5
Oakland, NJ 07436
Phone (201) 405-0011

43 Yawpo Ave
Ste 9
Oakland, NJ 07436
Phone (201) 337-0066

Interoperability endpoints

  • Direct secure messaging: padma.chava.1@27406.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1508838186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-939-8834",
            "fax_number": "201-939-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-939-8834",
            "fax_number": "201-939-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVA",
        "first_name": "PADMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA071749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.