Individual provider Active NPI

Irina Tkach-Chubay, M.D

  • Obstetrics & Gynecology Physician
  • Burlington, NJ
National Provider Identifier
1598866550
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MAO7839000 Issued in NJ
Practice address
1900 Burlington Mount Holly Rd
Burlington, NJ 08016-4722
Phone
(609) 835-5570
NPI assigned
Sep 25, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MAO7839000 NJ Primary

Addresses

Primary practice location

1900 Burlington Mount Holly Rd
Burlington, NJ 08016-4722

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

525 Union Blvd
Totowa, NJ 07512-2442
Phone (973) 790-1117

Other identifiers 3

IdentifierTypeStateIssuer
193798OtherNJAMERIGROUP
01000760500OtherNJAMERICHOICE
60017925OtherNJHORIZON

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
I20050823000195 NJ Practitioner - Obstetrics/Gynecology 2163453853 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Obstetrical Associates PCGroup PAC ID 2365349347, 13 clinicians
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (800) 826-6737

1103 N Kings Hwy
Cherry Hill, NJ 08034-1983
Phone (609) 321-1800

1900 Mount Holly Rd
Burlington, NJ 08016-4722
Phone (609) 835-5570

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO7839000NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Nov 21, 2022 Accepting new patients
St Josephs Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Nov 21, 2022 Accepting new patients
St. Joseph's Healthcare, Inc. CurrentSince Aug 1, 2007 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Jul 27, 2022 Accepting new patients
Cooper University Hospital Obstetrics & Gynecology Past Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients
Cooper Surgical Associates, PA Past Accepting new patients
Cooper GYN Oncology Association, PC Past Accepting new patients

Locations

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

1900 Mount Holly Rd
Ste D
Burlington Township, NJ 08016
Phone (609) 614-7495

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Cooper Plz
#L
Camden, NJ 08103
Phone (856) 342-2065

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 211
Camden, NJ 08103
Phone (856) 342-2544

3 Cooper Plz
Rm 221
Camden, NJ 08103
Phone (856) 342-2959

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

1103 Kings Hwy N
Ste 201
Cherry Hill, NJ 08034
Phone (856) 321-1800

100 Grove St
Haddonfield, NJ 08033
Phone (856) 325-6601

127 Church Rd
Ste 200
Marlton, NJ 08053
Phone (646) 245-8253

701 Route 73 N
Marlton, NJ 08053
Phone (856) 396-8900

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

4 Plaza Dr
Ste 403
Sewell, NJ 08080
Phone (856) 270-4020

525 Union Blvd
Totowa, NJ 07512
Phone (862) 229-0559

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: itkachchubay128677@direct.cooperhealth.edu

Organizations & group practices 9

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 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1598866550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "609-835-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075122442",
            "country_code": "US",
            "telephone_number": "973-790-1117",
            "fax_number": "973-790-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TKACH-CHUBAY",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MAO7839000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "193798",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000760500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "60017925",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.