Omnj Division Five LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

OMNJ DIVISION FIVE LLC

Practice address

694 Main St # 257
New York, NY 10044-0027

Phone

(718) 255-6391

Fax

(718) 255-6392

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Harshvardhan Chaobal, DO

Title

Owner

Phone

(718) 255-6391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1699589028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MAIN ST # 257",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440027",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 MAIN ST # 257",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440027",
            "telephone_number": "718-255-6391",
            "fax_number": "718-255-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNJ DIVISION FIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CHAOBAL",
        "authorized_official_first_name": "HARSHVARDHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-255-6391",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.