Victoria C. Chanliecco, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

208685-1 Issued in NY

Practice address

1 Hamilton Health PL
Hamilton, NJ 08690-3542

Phone

(609) 584-6763

Fax

(609) 584-6428

NPI assigned

Jul 1, 2006

Sex

Female

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 NY

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

Specialty

Emergency Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians

Upstate Ny Physician PLLCGroup PAC ID 4183164148, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1003075029
  Medicare reassignment Care Compare group NPD
• Upstate Ny Physician PLLC

  • Emergency Medicine Physician
  • Amsterdam, NY
  • NPI 1487484523
  Medicare reassignment Care Compare group NPD
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment NPD
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Exigence Medical of Binghamton PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Binghamton, NY
  • NPI 1659464758
  Medicare reassignment NPD
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• Sullivan Emergency Services PC

  • Emergency Medicine Physician
  • Harris, NY
  • NPI 1528338480
  Medicare reassignment NPD
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• Emergency Physician Associates of South Jersey P C

  • Emergency Medicine Physician
  • Voorhees, NJ
  • NPI 1215965231
  NPD (past)
• Plainfield Emergency Physicians, PA

  • Emergency Medicine Physician
  • Plainfield, NJ
  • NPI 1659309680
  NPD (past)

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

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Care Compare affiliation
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Care Compare affiliation
• St. Mary's Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1518996776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMILTON HEALTH PL",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903542",
            "telephone_number": "609-584-6763",
            "fax_number": "609-584-6428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-794-3300",
            "fax_number": "845-794-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANLIECCO",
        "first_name": "VICTORIA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA65878",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "208685-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7964102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Medical Care, LLC
• Alissa Cerofeci
• Anna Marie Cesnik, OTR
• CH Home Sleep Testing
• Champion Orthopedics
• Judd Zachary Charmoy, LPC
• Charis Lease-Trevathan Chase
• Aisha S Chaudhry, DPM
• Rupinder Chawla, MD
• Jacqueline Chen, MA/CCC/SLP

• Emergency Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.