Individual provider Active NPI

Kevin Chen, MD

  • Internal Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1639799075
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11953500 Issued in NJ
Practice address
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone
(732) 360-1000
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 25MA11953500 NJ Primary

Addresses

Primary practice location

1 Hospital PLZ
Old Bridge, NJ 08857-3012

Mailing address

6 Greenbrier CT
Wayne, NJ 07470-3748
Phone (862) 221-0539

Other practice location 1

901 W Main St
Freehold, NJ 07728-2549
Phone (732) 431-2000

Other practice location 2

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone (732) 442-3700

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
I20240227000785 NJ Practitioner - Internal Medicine 7315382629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

Hospital & facility affiliations

  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1639799075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENBRIER CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703748",
            "telephone_number": "862-221-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573012",
            "telephone_number": "732-360-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Main St",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282549",
            "country_code": "US",
            "telephone_number": "732-431-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Perth Amboy",
            "state": "NJ",
            "postal_code": "088613654",
            "country_code": "US",
            "telephone_number": "732-442-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11953500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.