Active NPI
Serena H Chen, MD
- Reproductive Endocrinology Physician
- Livingston, NJ
National Provider Identifier
1598883571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MA069462
- Practice address
- 94 Old Short Hills Road
East Wing Suite 403
Livingston, NJ 07039 - Phone
- (973) 322-8286
- Fax
- (973) 322-8890
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MA069462 | NJ | Primary |
Addresses
Primary practice location
94 Old Short Hills Road
East Wing Suite 403
Livingston, NJ 07039
Mailing address
94 Old Short Hills Road
East Wing Suite 403
Livingston, NJ 07039
Phone (973) 322-8286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10703138 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 29, 2016 through Apr 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA069462 | NJ | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Reproductive Medicine and Science at Saint Barnabas | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Reproductive Endocrinology Physician
- Livingston, NJ
- NPI 1831375740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598883571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS ROAD",
"address_2": "EAST WING SUITE 403",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-322-8286",
"fax_number": "973-322-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS ROAD",
"address_2": "EAST WING SUITE 403",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "973-322-8286",
"fax_number": "973-322-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SERENA",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NJ",
"license": "MA069462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10703138",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.