Individual provider Active NPI

Chaklader N Jamal, M.D.

  • Pediatrics Physician
  • Allentown, PA
National Provider Identifier
1578522355
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD423934 Issued in PA
Practice address
1627 Chew St FL 6
Allentown, PA 18102-3648
Phone
(610) 969-4300
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD423934 PA Primary

Addresses

Primary practice location

1627 Chew St FL 6
Allentown, PA 18102-3648

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Other practice location 1

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621

Other identifiers 1

IdentifierTypeStateIssuer
100901583MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjamal81186@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040524001221 PA Practitioner - Pediatric Medicine 6800887167 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Pediatrics CurrentSince May 3, 2004 Accepting new patients
Lehigh Valley Physician Group Pediatrics Current Accepting new patients
Caring Community Health Center CurrentSince Nov 17, 2019 Accepting new patients
Geisinger Clinic CurrentSince May 3, 2004 Accepting new patients
Caring Community Health Center Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 22, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 22, 2024 Accepting new patients
Valley Health Partners Community Health Center Current Accepting new patients
Caring Community Health Center CurrentSince Nov 17, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients

Locations

1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388

1627 Chew St
Fl 6
Allentown, PA 18102
Phone (484) 633-0935

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660

3800 Sierra Cir
Ste 100
Center Valley, PA 18034
Phone (484) 664-2090

100 N Academy Ave
Danville, PA 17822

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808

Interoperability endpoints

  • Direct secure messaging: cjamal81186@direct.geisinger.edu

Organizations & group practices 11

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1578522355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 CHEW ST FL 6",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023648",
            "telephone_number": "610-969-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 S Wilkes Barre Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187025040",
            "country_code": "US",
            "telephone_number": "570-829-2621",
            "fax_number": "570-823-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "CHAKLADER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD423934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100901583",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjamal81186@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 S Wilkes Barre Blvd",
            "city": "Wilkes Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187025040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.